Our built-in tools help you complete, sign, share, and store your documents in one place.
Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.
Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.
Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.
If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
We protect your documents and personal data by following strict security and privacy standards.

Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
Submitting Claims The claim submission timeframe for Contra Costa Health Plan is 180 days from the date of service, or primary explanation of benefits (EOB), for both contracted and non-contracted providers. Claims received after 180 days will be denied for untimely filing.
What are the timely filing requirements? Timely filing requirements are generally 90 days from the date of service. Non-network provider and secondary claims filing limit is 6 months from date of discharge or date of service.
If you are: a person (this includes sole-proprietors) you may claim up to $12,500; if you are a Corporation, limited liability company or partnership, you may claim up to $6,250.
CCHP is the primary managed-care provider for Medi-Cal beneficiaries in Contra Costa and we also manage smaller plans for county employees and IHSS homecare workers. Our members have access to hundreds of family medicine doctors and specialists in our provider networks.
Ways to File a Grievance or Appeal Call Member Services, Monday – Friday, 8am – 5pm at 1-877-661-6230 (Option 2) (TTY 711). If you have a clinically urgent issue, you can also reach our 24 Hour Nurse Advice Line at 1-877-661-6230 (Option 1).
If you have Medi-Cal questions, please visit Contra Costa Employment & Human Services (EHSD) or call 1-866-663-3225. Medi-Cal Information (English) Medi-Cal Information (Spanish)
Denials for “Timely Filing” In medical billing, a timely filing limit is the timeframe within which a claim must be submitted to a payer. Different payers will have different timely filing limits; some payers allow 90 days for a claim to be filed, while others will allow as much as a year.
Contact Us 925-957-2200. TTY: 711. 925-646-2566 (Fax) To send the DA's Office an email, please email DAOffice@contracostada Note: Do not use this email address for Discovery Requests. All Discovery Requests should be faxed to the appropriate Unit. Office locations and maps click here.