Table: pcs_quarterly_received_claims , plan_name like S*

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qtr year_str plan_name provider_type nature_of_complaint number_of_claims_received
1 2019 San Joaquin County Health Commission Hospital/Institutional Claims Payment Dispute 1
1 2019 Santa Clara County Hospital/Institutional Claims Payment Dispute 2
1 2019 Santa Clara County Hospital/Institutional Dispute Resolution Problems 1
1 2019 Scan Health Plan Home Health Services Non-Contracted Providers 1
1 2019 Scan Health Plan Skilled Nursing Facility Non-Contracted Providers 1
2 2019 San Joaquin County Health Commission Hospital-Based Physician Non-Contracted Providers 1
2 2019 San Joaquin County Health Commission Other Specialist Providers Claims Payment Dispute 1
2 2019 Santa Barbara San Luis Obispo Regional Health Authority Family/General Practice Dispute Resolution Problems 7
2 2019 Santa Clara County Other Specialist Providers Claims Payment Dispute 2
2 2019 Santa Cruz-Monterey-Merced-San Benito-Mariposa Managed Medical Care Commission Mental Health Overpayment/Refund Request 1
2 2019 Sharp Health Plan Ambulance Dispute Resolution Problems 1
2 2019 SilverScript Insurance Company Pharmacy Dispute Resolution Problems 1
3 2019 Santa Clara County Other Specialist Providers Claims Payment Dispute 7
3 2019 Santa Clara County Health Authority Skilled Nursing Facility Claims Payment Dispute 1
3 2019 Scan Health Plan Hospital/Institutional Dispute Resolution Problems 1
3 2019 Scan Health Plan Other Specialist Providers Claims Payment Dispute 1
3 2019 Sutter Health Alliance Mental Health Claims Payment Dispute 1
4 2019 San Francisco Health Authority Hospital/Institutional Claims Payment Dispute 1
4 2019 Santa Barbara San Luis Obispo Regional Health Authority Skilled Nursing Facility Other 4
4 2019 Santa Clara County Hospital/Institutional Claims Payment Dispute 1
4 2019 Santa Clara County Hospital/Institutional Dispute Resolution Problems 4
4 2019 Santa Clara County Health Authority Skilled Nursing Facility Claims Payment Dispute 4
4 2019 Scan Health Plan Skilled Nursing Facility Claims Payment Dispute 10
4 2019 Scan Health Plan Skilled Nursing Facility Overpayment/Refund Request 2
4 2019 Sharp Health Plan Laboratory Services Non-Contracted Providers 1
1 2020 San Francisco Health Authority Hospital/Institutional Claims Payment Dispute 1
1 2020 San Joaquin County Health Commission Hospital/Institutional Claims Payment Dispute 52
1 2020 Scan Health Plan Hospital/Institutional Claims Payment Dispute 1
1 2020 Scan Health Plan Skilled Nursing Facility Claims Payment Dispute 7
2 2020 San Joaquin County Health Commission Hospital/Institutional Claims Payment Dispute 12
2 2020 San Joaquin County Health Commission Hospital/Institutional Contractual Issues 74
2 2020 San Joaquin County Health Commission Hospital/Institutional Other 24
2 2020 San Joaquin County Health Commission OB/GYN Non-Contracted Providers 1
2 2020 San Joaquin County Health Commission Other Ancillary Service Providers Claims Payment Dispute 14
2 2020 San Joaquin County Health Commission Other Specialist Providers Claims Payment Dispute 14
2 2020 San Joaquin County Health Commission Pediatrics Claims Payment Dispute 3
2 2020 San Joaquin County Health Commission Skilled Nursing Facility Claims Payment Dispute 19
2 2020 Santa Barbara San Luis Obispo Regional Health Authority Hospital/Institutional Claims Payment Dispute 1
2 2020 Santa Cruz-Monterey-Merced-San Benito-Mariposa Managed Medical Care Commission Hospital/Institutional Claims Payment Dispute 1
2 2020 Scan Health Plan Other Specialist Providers Dispute Resolution Problems 1
2 2020 Scripps Health Plan Services, Inc. Hospital/Institutional Claims Payment Dispute 1
2 2020 Sutter Health Alliance Other Ancillary Service Providers Dispute Resolution Problems 1
3 2020 San Francisco Health Authority Hospital/Institutional Claims Payment Dispute 25
3 2020 San Joaquin County Health Commission Home Health Services Claims Payment Dispute 16
3 2020 San Joaquin County Health Commission Hospital/Institutional Claims Payment Dispute 27
3 2020 Santa Clara County Health Authority Laboratory Services Claims Payment Dispute 1
3 2020 Santa Cruz-Monterey-Merced-San Benito-Mariposa Managed Medical Care Commission Hospital/Institutional Other 1
3 2020 Scan Health Plan Skilled Nursing Facility Claims Payment Dispute 1
4 2020 San Joaquin County Health Commission Hospital/Institutional Claims Payment Dispute 1
4 2020 San Joaquin County Health Commission OB/GYN Contractual Issues 1
4 2020 San Joaquin County Health Commission Physical/Speech/Occupational Therapy Other 1
4 2020 San Mateo Health Commission Hospital/Institutional Claims Payment Dispute 2
4 2020 Santa Barbara San Luis Obispo Regional Health Authority Hospital/Institutional Claims Payment Dispute 1
4 2020 Santa Clara County Other Specialist Providers Dispute Resolution Problems 72
4 2020 Scan Health Plan Hospital-Based Physician Dispute Resolution Problems 1
4 2020 Scan Health Plan Hospital/Institutional Claims Payment Dispute 1
4 2020 Scan Health Plan Skilled Nursing Facility Claims Payment Dispute 3
1 2021 SafeGuard Health Plans, Inc. Dental Claims Payment Dispute 1
1 2021 San Joaquin County Health Commission Hospital/Institutional Claims Payment Dispute 3
1 2021 San Joaquin County Health Commission Hospital/Institutional Dispute Resolution Problems 1
1 2021 San Joaquin County Health Commission Laboratory Services Claims Payment Dispute 1
1 2021 San Joaquin County Health Commission OB/GYN Claims Payment Dispute 11
1 2021 San Joaquin County Health Commission Other Ancillary Service Providers Claims Payment Dispute 1
1 2021 Santa Clara County Hospital/Institutional Dispute Resolution Problems 9
1 2021 Santa Clara County Hospital/Institutional Other 1
1 2021 Scan Health Plan Hospital/Institutional Claims Payment Dispute 1
1 2021 Scan Health Plan Other Specialist Providers Claims Payment Dispute 1
2 2021 San Joaquin County Health Commission Ambulance Claims Payment Dispute 1
2 2021 San Joaquin County Health Commission Hospital/Institutional Dispute Resolution Problems 1
2 2021 Santa Clara County Hospital/Institutional Non-Contracted Providers 1
2 2021 Scan Health Plan Hospital/Institutional Claims Payment Dispute 1
2 2021 Scan Health Plan Skilled Nursing Facility Claims Payment Dispute 1
2 2021 Sharp Health Plan Hospital/Institutional Claims Payment Dispute 4
3 2021 San Joaquin County Health Commission Ambulance Claims Payment Dispute 1
3 2021 San Joaquin County Health Commission Hospital/Institutional Claims Payment Dispute 1
3 2021 San Joaquin County Health Commission Skilled Nursing Facility Claims Payment Dispute 1
3 2021 Santa Clara County Internal Medicine Claims Payment Dispute 5
3 2021 Santa Clara County Mental Health Claims Payment Dispute 3
3 2021 Santa Clara County Health Authority Hospital/Institutional Dispute Resolution Problems 1
3 2021 Scan Health Plan Hospital/Institutional Claims Payment Dispute 3
3 2021 Scan Health Plan Hospital/Institutional Non-Contracted Providers 1
3 2021 Scan Health Plan Skilled Nursing Facility Claims Payment Dispute 1
3 2021 Sistemas Medicos Nacionales, S.A.de C.V. Hospital/Institutional Non-Contracted Providers 1
4 2021 San Joaquin County Health Commission Ambulance Overpayment/Refund Request 2
4 2021 San Joaquin County Health Commission Hospital/Institutional Claims Payment Dispute 1
4 2021 San Mateo Health Commission Durable Medical Equipment Dispute Resolution Problems 7
4 2021 Santa Clara County Ambulance Claims Payment Dispute 1
4 2021 Santa Clara County On Call Physicians (Not ER) Claims Payment Dispute 1
4 2021 Santa Clara County Other Specialist Providers Claims Payment Dispute 3
4 2021 Sharp Health Plan Hospital/Institutional Claims Payment Dispute 1
4 2021 Sistemas Medicos Nacionales, S.A.de C.V. Hospital/Institutional Other 1
1 2022 San Joaquin County Health Commission Hospital/Institutional Claims Payment Dispute 28
1 2022 San Joaquin County Health Commission Hospital/Institutional Dispute Resolution Problems 1
1 2022 San Joaquin County Health Commission Hospital/Institutional Non-Contracted Providers 25
1 2022 San Mateo Health Commission Mental Health Claims Payment Dispute 1
1 2022 Scan Health Plan Hospital/Institutional Claims Payment Dispute 1
1 2022 Scan Health Plan Hospital/Institutional Non-Contracted Providers 2
1 2022 SilverScript Insurance Company Durable Medical Equipment Claims Payment Dispute 1
1 2022 Sutter Health Alliance Internal Medicine Claims Payment Dispute 1
1 2022 Sutter Health Alliance Physical/Speech/Occupational Therapy Claims Payment Dispute 2
2 2022 San Francisco Health Authority Durable Medical Equipment Claims Payment Dispute 1
2 2022 San Francisco Health Authority Hospital/Institutional Non-Contracted Providers 1
2 2022 San Joaquin County Health Commission Hospital/Institutional Claims Payment Dispute 1
2 2022 Santa Clara County Internal Medicine Dispute Resolution Problems 6
2 2022 Santa Clara County Health Authority Other Specialist Providers Claims Payment Dispute 1
2 2022 Santa Clara County Health Authority Skilled Nursing Facility Claims Payment Dispute 1
2 2022 Scan Health Plan Hospital/Institutional Non-Contracted Providers 2
2 2022 Scan Health Plan Other Specialist Providers Claims Payment Dispute 1
3 2022 San Joaquin County Health Commission Hospital/Institutional Dispute Resolution Problems 1
3 2022 San Joaquin County Health Commission Skilled Nursing Facility Claims Payment Dispute 1
3 2022 San Mateo Health Commission Skilled Nursing Facility Claims Payment Dispute 1
3 2022 Scan Health Plan Hospital/Institutional Claims Payment Dispute 2
3 2022 Scan Health Plan Hospital/Institutional Non-Contracted Providers 1
3 2022 Sharp Health Plan Hospital/Institutional Claims Payment Dispute 1
3 2022 Sharp Health Plan Other Specialist Providers Claims Payment Dispute 1
3 2022 Sutter Health Alliance Other Specialist Providers Dispute Resolution Problems 6
3 2022 Sutter Health Alliance Pediatrics Claims Payment Dispute 1
4 2022 San Francisco Health Authority Hospital/Institutional Unknown 1
4 2022 San Joaquin County Health Commission Durable Medical Equipment Dispute Resolution Problems 1
4 2022 San Joaquin County Health Commission Skilled Nursing Facility Dispute Resolution Problems 1
4 2022 Santa Clara County Health Authority Laboratory Services Claims Payment Dispute 1
4 2022 Santa Clara County Health Authority Other Ancillary Service Providers Claims Payment Dispute 1
1 2023 San Joaquin County Health Commission Other Ancillary Service Providers Claims Payment Dispute 2
1 2023 San Joaquin County Health Commission Other Specialist Providers Claims Payment Dispute 4
1 2023 Santa Barbara San Luis Obispo Regional Health Authority Durable Medical Equipment Dispute Resolution Problems 1
1 2023 Santa Clara County OB/GYN Claims Payment Dispute 1
1 2023 Scan Health Plan Other Specialist Providers Claims Payment Dispute 1
1 2023 Scan Health Plan Skilled Nursing Facility Claims Payment Dispute 1
1 2023 Sharp Health Plan Other Specialist Providers Claims Payment Dispute 1
1 2023 Sutter Health Alliance Ambulance Non-Contracted Providers 2
1 2023 Sutter Health Alliance Mental Health Dispute Resolution Problems 1
2 2023 San Francisco Health Authority Durable Medical Equipment Dispute Resolution Problems 2
2 2023 San Joaquin County Health Commission Hospital/Institutional Claims Payment Dispute 1
2 2023 Santa Barbara San Luis Obispo Regional Health Authority Durable Medical Equipment Claims Payment Dispute 1
2 2023 Santa Clara County OB/GYN Claims Payment Dispute 1
2 2023 Santa Clara County Health Authority Ambulance Non-Contracted Providers 1
2 2023 Santa Clara County Health Authority Skilled Nursing Facility Claims Payment Dispute 2
2 2023 Santa Cruz-Monterey-Merced-San Benito-Mariposa Managed Medical Care Commission Skilled Nursing Facility Claims Payment Dispute 4
2 2023 Scan Health Plan Hospital/Institutional Dispute Resolution Problems 1
2 2023 Scan Health Plan Pharmacy Claims Payment Dispute 1
3 2023 Santa Cruz-Monterey-Merced-San Benito-Mariposa Managed Medical Care Commission Ambulance Claims Payment Dispute 1
3 2023 Scan Health Plan Pharmacy Claims Payment Dispute 1
4 2023 San Joaquin County Health Commission Other Ancillary Service Providers Claims Payment Dispute 22
4 2023 San Joaquin County Health Commission Other Specialist Providers Contractual Issues 2
4 2023 San Joaquin County Health Commission Skilled Nursing Facility Dispute Resolution Problems 1
4 2023 Santa Barbara San Luis Obispo Regional Health Authority Skilled Nursing Facility Claims Payment Dispute 2
4 2023 Santa Clara County Hospital/Institutional Claims Payment Dispute 2
4 2023 Santa Clara County Health Authority Laboratory Services Claims Payment Dispute 1
4 2023 Scan Health Plan Hospital/Institutional Claims Payment Dispute 6
4 2023 Scan Health Plan Skilled Nursing Facility Claims Payment Dispute 3
4 2023 Sharp Health Plan Hospital/Institutional Claims Payment Dispute 1
4 2023 Sharp Health Plan Hospital/Institutional Non-Contracted Providers 1
1 2024 San Francisco Health Authority Durable Medical Equipment Dispute Resolution Problems 1
1 2024 San Francisco Health Authority Other Specialist Providers Claims Payment Dispute 4
1 2024 San Joaquin County Health Commission Ambulance Claims Payment Dispute 1
1 2024 San Joaquin County Health Commission Durable Medical Equipment Claims Payment Dispute 1
1 2024 San Joaquin County Health Commission Hospital/Institutional Claims Payment Dispute 1
1 2024 San Joaquin County Health Commission Skilled Nursing Facility Claims Payment Dispute 1
1 2024 Scan Health Plan Hospital/Institutional Claims Payment Dispute 1
1 2024 Scan Health Plan Hospital/Institutional Dispute Resolution Problems 1
1 2024 Scan Health Plan Other Specialist Providers Dispute Resolution Problems 3
1 2024 Scan Health Plan Skilled Nursing Facility Claims Payment Dispute 1
1 2024 Sutter Health Alliance Skilled Nursing Facility Claims Payment Dispute 1
2 2024 San Francisco Health Authority Durable Medical Equipment Claims Payment Dispute 1
2 2024 San Francisco Health Authority Other Specialist Providers Claims Payment Dispute 2
2 2024 San Joaquin County Health Commission Ambulance Claims Payment Dispute 3
2 2024 San Joaquin County Health Commission Durable Medical Equipment Claims Payment Dispute 1
2 2024 San Joaquin County Health Commission Hospital/Institutional Claims Payment Dispute 1
2 2024 San Joaquin County Health Commission Mental Health Claims Payment Dispute 24
2 2024 San Joaquin County Health Commission Other Ancillary Service Providers Non-Contracted Providers 1
2 2024 San Joaquin County Health Commission Skilled Nursing Facility Claims Payment Dispute 8
2 2024 San Mateo Health Commission Hospital/Institutional Dispute Resolution Problems 2
2 2024 San Mateo Health Commission Mental Health Claims Payment Dispute 1
2 2024 Santa Barbara San Luis Obispo Regional Health Authority Hospital/Institutional Claims Payment Dispute 1
2 2024 Santa Clara County Hospital/Institutional Non-Contracted Providers 1
2 2024 Sharp Health Plan Hospital/Institutional Non-Contracted Providers 1
2 2024 Sutter Health Alliance Skilled Nursing Facility Claims Payment Dispute 1
3 2024 San Francisco Health Authority Other Specialist Providers Claims Payment Dispute 2
3 2024 San Joaquin County Health Commission Mental Health Claims Payment Dispute 2
3 2024 San Joaquin County Health Commission Skilled Nursing Facility Claims Payment Dispute 4
3 2024 San Mateo Health Commission Hospital/Institutional Non-Contracted Providers 1
3 2024 Santa Cruz-Monterey-Merced-San Benito-Mariposa Managed Medical Care Commission Hospital/Institutional Claims Payment Dispute 1
3 2024 Scan Health Plan Hospital/Institutional Claims Payment Dispute 5
3 2024 Scan Health Plan Skilled Nursing Facility Claims Payment Dispute 1
3 2024 Sutter Health Alliance Hospital/Institutional Dispute Resolution Problems 1
3 2024 Sutter Health Alliance Skilled Nursing Facility Claims Payment Dispute 1
4 2024 SafeGuard Health Plans, Inc. Dental Claims Payment Dispute 1
4 2024 San Joaquin County Health Commission Hospital/Institutional Claims Payment Dispute 1
4 2024 San Joaquin County Health Commission Mental Health Claims Payment Dispute 18
4 2024 San Joaquin County Health Commission Other Ancillary Service Providers Claims Payment Dispute 2
4 2024 San Joaquin County Health Commission Skilled Nursing Facility Claims Payment Dispute 3
4 2024 Santa Barbara San Luis Obispo Regional Health Authority Ambulance Claims Payment Dispute 1
4 2024 Santa Clara County Laboratory Services Claims Payment Dispute 3
4 2024 Santa Cruz-Monterey-Merced-San Benito-Mariposa Managed Medical Care Commission Skilled Nursing Facility Claims Payment Dispute 6
4 2024 Scan Health Plan Hospital-Based Physician Claims Payment Dispute 9
4 2024 Scan Health Plan Hospital/Institutional Claims Payment Dispute 13
4 2024 Scan Health Plan Hospital/Institutional Dispute Resolution Problems 3
4 2024 Scan Health Plan Other Ancillary Service Providers Claims Payment Dispute 1
4 2024 Scan Health Plan Other Specialist Providers Claims Payment Dispute 7
4 2024 Scan Health Plan Other Specialist Providers Dispute Resolution Problems 1
4 2024 Sutter Health Alliance Hospital/Institutional Claims Payment Dispute 1
1 2025 San Joaquin County Health Commission Skilled Nursing Facility Claims Payment Dispute 1
1 2025 San Mateo Health Commission Durable Medical Equipment Dispute Resolution Problems 1
1 2025 Santa Barbara San Luis Obispo Regional Health Authority Other Ancillary Service Providers Other 2
1 2025 Santa Clara County Health Authority Other Specialist Providers Claims Payment Dispute 1
1 2025 Santa Clara County Health Authority Skilled Nursing Facility Claims Payment Dispute 1
1 2025 Scan Health Plan Hospital-Based Physician Claims Payment Dispute 1
1 2025 Scan Health Plan Hospital-Based Physician Dispute Resolution Problems 2
1 2025 Scan Health Plan Hospital-Based Physician Overpayment/Refund Request 1
1 2025 Scan Health Plan Hospital/Institutional Claims Payment Dispute 8
1 2025 Scan Health Plan Mental Health Claims Payment Dispute 2
1 2025 Scan Health Plan Mental Health Dispute Resolution Problems 1
1 2025 Scan Health Plan Skilled Nursing Facility Claims Payment Dispute 2
1 2025 Scripps Health Plan Services, Inc. Mental Health Dispute Resolution Problems 1
1 2025 Sharp Health Plan Other Specialist Providers Claims Payment Dispute 2