SHIP Resources for Providers

SHIP Resources for Providers

Referral, Pre-certification & Case Management Requests

Referral Request

Effective March 16, 2020, and until further notice, no referrals from University Health Services are needed before accessing medical and mental health care. If needed, please see this UHS letter for documentation.   

Pre-certification Request for Medical & Behavioral Health Services

For services in California, call Hines & Associates: (888) 893-7264

For service outside California, call Wellfleet: (877) 657-5033 

Case Management Request Form 

Fax or email request to Hines & Associates  

Phone: (888) 893-7264
Fax: (800) 735-1435
Email: hinesreferral@hinesassoc.com

Pre-certification Request Form for Gender-Affirming Services

Fax request with supporting documentation to the SHIP Office.

Fax: (510) 642-9119

Provider Contacts

Wellfleet Provider Services 
Eligibility and claims for services beginning August 1, 2023

Phone: (877) 657-5033 
Monday-Friday, 6am-5pm PST 
Email: UCBcustomerservice@wellfleetinsurance.com

wellfleetstudent.com/providers

HealthComp Provider Services (Wellfleet's third-party administrator)
Eligibility and claims for services prior to August 1, 2023

Phone: (833) 302-9785
Monday-Friday, 6am-5pm PST
Email: UCB-ProviderInquires@healthcomp.com

Claim status online

Wellfleet Rx/Express Scripts

Customer Service Phone: (877) 640-7940 

Prior-Authorization Phone: (877) 640-7938 
Electronic Requests: https://esrx.com/PA

Blue Shield of California Credentialing Status and Inquiries

Please see this guide for more information about the credentialing process.

Phone: (800) 258-3091, select option 3

Email credentialing paperwork to: BSCInitialApp@blueshieldca.com

Email general credentialing inquiries (including status):
BSCCredentialinginquiry@blueshieldca.com

Blue Shield of California Contracting & Rate Inquiries

Phone: (800) 258-3091, select option 3
Email: BSCProviderinfo@blueshieldca.com

How to file claims & EFT Payments

For services in California, submit claims to Blue Shield of California PPO Network.

Electronic Submission via EDI

See this guide for information on Electronic Data Exchange claim submission.

Paper Claim Mailing Address:

Blue Shield of California
P.O. Box 272540 
Chico, CA 95927-2540

More information about claim submission can be found on the Blue Shield website
For services outside California, submit claims to Cigna PPO Network.

Electronic Submission via EDI

Paper Claim Mailing Address:

Cigna
PO Box 188061 
Chattanooga, TN 37422-8061

Electronic Funds Transfer (EFT) Claim Payments

To receive claim payments electronically, follow the steps below:

1. Visit wellfleetstudent.com/providers
2. Under "Other Provider Resources", select "ePayment Center".
3. Follow the instructions to request access to register for Wellfleet’s ePayment Center and to register to receive ERAs and EFTs. 

For additional information or assistance with ePayment registration, contact:

1. Wellfleet Provider Relations: providerrelations@wellfleetinsurance.com or
2. Zelis: help@payment.center or (855) 774-4392

How to make name, address, or TIN updates with Wellfleet and Blue Shield

Submit current W9 to:

1. Wellfleet Provider Relations at providerrelations@wellfleetinsurance.com and
2. Blue Shield at bscproviderinfo@blueshield.com.