Referral, Pre-certification & Case Management Requests
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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. |
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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 |
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Case Management Request Form |
Phone: (888) 893-7264 |
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Pre-certification Request Form for Gender-Affirming Services Fax request with supporting documentation to the SHIP Office. |
Fax: (510) 642-9119 |
Provider Contacts
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For date of service through July 31, 2026 |
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Wellfleet Provider Services |
Phone: (877) 657-5033 |
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HealthComp Provider Services (Wellfleet's third-party administrator) |
Phone: (833) 302-9785 |
| Wellfleet Rx/Express Scripts |
Customer Service Phone: (877) 640-7940 Prior-Authorization Phone: (877) 640-7938 |
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For date of service beginning August 1, 2026 |
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Aetna Student Health Customer Service |
Phone: (877) 480-4161 (option 2 for providers) |
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Aetna contract requests for mental health providers who have a current agreement with Blue Shield of CA/Wellfleet for Berkeley SHIP only |
Email: ashnetworkucb@aetna.com |
| Aetna contract requests for medical and all other mental health providers, visit Aetna's website to start the contracting and credentialing process. | |
How to file claims & EFT Payments
| For services through July 31, 2026 | |
| 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 |
| For services outside California, submit claims to Cigna PPO Network. |
Electronic Submission via EDI Paper Claim Mailing Address: Cigna |
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Electronic Funds Transfer (EFT) Claim Payments To receive claim payments electronically, follow the steps below: 1. Visit wellfleetstudent.com/providers. For additional information or assistance with ePayment registration, contact: 1. Wellfleet Provider Relations: providerrelations@wellfleetinsurance.com or |
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| For services beginning August 1, 2026 | |
| Electronic Claim Submissions | Aetna Payor ID: 60054 |
| Paper Claim Submissions |
Aetna |
| To enroll in EFT, visit Aetna's website | |
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 of California at SpecialtyNetworksPR@blueshieldca.com.