Managed Care
Member Reimbursement
Important Instructions
Provide a copy of the superbill, invoice, or claim with the following information:
- Subscriber Name and ID Number
- Patient Name, ID Number, and Date of Birth
- Date of Service
- Diagnosis and Procedure Code
- Provider NPI and Tax ID Number
- Itemized Service Line Charge
- Total Billed and Paid Amount
Submit a receipt or other proof of payment for the services rendered.
Submission Instructions
- Complete documents may be mailed to the address below.
UC Davis Managed Care Claims Department
Attn: Member Reimbursement
PO Box 179001
Sacramento, CA 95817-9001 - Complete documents may be faxed to 916-734-9972.
- Complete documents may be emailed to claims.inquiry@health.ucdavis.edu.
Questions?
If you have any questions, please contact Claims at 916-734-9900 or 1-800-445-3936, select option 1.