Provider Resources

Claim Submission

Please submit the claim within 120 days from the date of service to the following address:

St. Paul's PACE
PEAK TPA
P.O. Box 21631
Eagan, MN. 55121

For electronic claims submission please use:

Electronic Payer Information

Payer ID:
Institutional: U7034
Professional: 27034

Please allow 30 days from claim submissions prior to follow up.

Payment

A W-9 is required to be on file prior to any payment being made to any provider. No payment will be made without a w9 on file.

If your claim is denied for no W-9 on file, please email your W9 to providerservices@stpaulspace.org and then submit a new claim.

Authorization

St. Paul's PACE requires authorizations for services that are referred outside of our clinics. If you do not receive the authorization number from the participant at the time of the appointment, please contact our Scheduling Department at 619-814-7900 , (Option1) or fax your request to: 619-324-4151 to obtain the authorization prior to providing services.

Emergency Visits and Inpatient Hospitalization Authorizations: Providers may provide emergency services that are medically necessary without an authorization number. However, providers must notify St. Paul's PACE within 24 hours from the emergency visit. All inpatient admissions as a result from an emergency room visit require authorization.

Pharmacy Billing Information

St. Paul's PACE
PCN: PSTMEDD/PSTMEDC
GROUP:STPH5629

St. Paul's PACE
PCN: Dual: PSTMEDD/ Medi-Cal: PSTMEDC
BIN# 022188
GROUP:STPH5629

Appeal Submission

In the event St. Paul's PACE denies your claim, you may submit an appeal directly to St. Paul's PACE Health Plan requesting a reconsideration of the decision. The appeal must be received by St. Paul's PACE within 120 days from the date of the claim denial.

All appeals must be submitted to:

St. Paul's PACE Health Plan: Appeals
3444 Camino Del Rio N.
San Diego, CA 92108

Note: Providers are responsible for sending their patient's PHI and PII securely.

St. Paul's PACE will respond to your appeal in writing within 60 days from receipt of the appeal. Please allow 60 days from appeal submission to follow up on status. You may contact St. Paul's PACE at 877-510-PACE(7223) for the status of your appeal or inquire via email at providerservices@stpaulspace.org