FAQ

Where are claims mailed?

Claims should be mailed or filed electronically by your provider to the address on the the back of your ID card.  SBMA claims should be mailed to:

Pacific Health Alliance, 1525 Rollins Rd Ste B, Burlingame, CA  94010.


 

Who should my provider or I call if I am going to be admitted to the hospital?

To pre-certify a hospital admission, contact the PRE-CERTIFICATION phone number listed on the back of your ID card.


 

Is PHA an insurance company?

PHA is not a health plan and they do not underwrite risk.  The major advantage of PHA is our “portability”. Clients can use the PHA managed care system with their insurance.


 

How many providers are part of PHA?

More than 400,000 physicians, hospitals, and other health care providers participate with PHA.


 

How can I get more information about PHA?

You can call our customer service line at (800) 533-4742 or email your questions to rmackler@pacifichealthalliance.com.


 

How can I find a network provider?

The FIND A DOCTOR section of this website allows you to search for a provider or you can call our PHA Customer service line at (800) 533-4742 between the hours of 8:30 a.m. and 4:30 p.m. Monday through Friday.