Stanford Medicine Partners (SMP) contracts with various Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO).
SMP also participates in government programs such as traditional Medicare, traditional Medi-Cal, and TRICARE.
Always check with your health plan to confirm participation.
NPI and Tax ID Information
Although SMP practices go by a variety of names, the billing/insurance entity is called University HealthCare Alliance. Your health plan may not immediately recognize the individual practice name. All SMP practices bill under the following NPI and Tax ID:
- Tax ID: 94-3192446
- NPI: 1760531198
- Please be aware that visits with behavioral health professionals will be billed to your behavioral health/mental health insurance carrier.
- Your behavioral health insurance (also called mental health insurance) may be different than your medical insurance which covers your medical treatment.
Understanding behavioral health/mental health insurance benefits:
- Most insurance plans offer medical coverage and behavioral health/mental health coverage, however, they may not always access the same network of providers. Your behavioral health insurance may access a “carve out” network or third-party insurer.
- Your insurance plan network might have different provider or medical facility restrictions for behavioral health versus your medical care.
- As a result of the potential different network restrictions covered by your behavioral health/mental health plan, your insurance plan might cover your medical treatment at Stanford, but not cover behavioral health services at Stanford.
- This could be the case even if your behavioral health issues relate entirely to your medical treatment.
- When you are referred to Stanford behavioral health services, our benefits specialists will determine your behavioral health coverage and associated network of providers and will discuss with you any limitations prior to being scheduled for a New Patient Visit.
What if I don’t have coverage?
- If your behavioral health benefit plan will not allow you to be seen by a member of the behavioral health team, we encourage you to work with our Stanford Health Care social workers and your medical team to seek assistance in selecting a mental health provider who participates in your behavioral health network. You also have the option to seek services at Stanford outside of your behavioral health benefits as a self-payment status for which a patient financial counselor could further assist you in understanding those options.
If you do have behavioral health coverage for services at Stanford Health Care…
- Many patients may require short term behavioral health care during their active treatment period.
- Your specific care may require you to receive services more often, with additional follow up needed over time. We encourage you to take responsibility for understanding your ongoing benefit coverage, for example the number of visits covered for counseling.
- If your insurance company, benefits or network restriction changes and for each new benefit year, it is up to you to continue to make sure your insurance covers services at Stanford.
- Our financial counselors and benefits specialists can help you to understand your insurance coverage as it pertains to seeking behavioral health care services at Stanford.