Billing St. Paul's PACE
Thank you for providing the utmost care to our participants! We hope to provide a seamless and easy billing process for all of our providers. You will find the most frequently needed billing information below:
Please submit the claim within 120 days from the date of service to the following address:
St. Paul's PACE
P.O. Box 21631
Eagan, MN. 55121
For electronic claims submission please use:
Electronic Payer Information
Please allow 30 days from claim submissions prior to follow up.
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 firstname.lastname@example.org and then submit a new claim.
AuthorizationSt. 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 call our provider services line at 877-510-PACE (7223) or email: email@example.com to obtain the authorization number 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
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 111 Elm St. San Diego, CA. 92101
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 firstname.lastname@example.org
Last updated on October 26th, 2023 at 10:34 am - St. Paul’s PACE website H5629 2102 - Approved on 3/23/2021