Providers
Sutter Health Plan is honored to partner with trusted providers. Thank you for your commitment to personalized care, patient satisfaction and quality.
How to Submit Commercial HMO Claims
Please submit Sutter Health Plan HMO members' out-of-area emergency and urgent care claims to the following address, which you'll find on the back of members’ ID cards:
Sutter Health Plan
P.O. Box 211553
Eagan, MN 55121
Please be aware that:
- Providers have 180 calendar days from the date of service to submit claims to Sutter Health Plan.
- We acknowledge paper claims within 15 business days of receipt, starting from the first business day they arrive.
- If a claim is paid or denied within these 15 days, the remittance advice serves as the acknowledgment.
For confirmation of claim receipt, contact Customer Service at 855-315-5800 or TTY: 855-530-3500, weekdays from 8:00 am – 7:00 pm.
Effective January 1, 2026, if you are a participating provider with the Anthem Prudent Buyer PPO California Network, your claims were processed using contractual rates applicable to the Anthem Prudent Buyer Preferred Provider Organization (PPO) California Network for participating providers.
If you are not a participating provider with the Anthem Prudent Buyer PPO California Network, your claims were processed in accordance to the Sutter Health Plan applicable Health Smart Network Solutions Pricing Methodology.
For further clarification, please call Provider Services at 866-961-8521.
Non-Participating Providers
We help streamline how non-participating providers manage claims, use EDI tools and more.
Provider Portal
Access member eligibility, coverage details, claims management, forms and clinical resources through the secure Provider Portal.