Medi Cal Claims Phone Number

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MediCal Member Helpline California

9 hours ago Dhcs.ca.gov Show details

(800) 541-5555Medi-Cal Members and Providers: If you have a question, need help, or need to report a problem, please call (800) 541-5555 (outside of California, please call (916) ​636-1980) for our Telephone Service Center. As a participant in the Medi-Cal program your feedback is important to us.

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MediCal: Contact MediCal: Services

Just Now Files.medi-cal.ca.gov Show details

(916) 636-1200Providers may call the Telephone Service Center (TSC) from 8 a.m. to 5 p.m., Monday through Friday, except holidays. Border providers and out-of-state billers billing for in-state providers, call (916) 636-1200. The TSC is staffed by knowledgeable Medi-Cal telephone service agents who can assist providers with the following:

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MediCal and MediCal Dental Contacts California

1 hours ago Dhcs.ca.gov Show details

(800) 541-5555MEDI-CAL PROVIDER. PHONE / EMAIL. Medi-Cal Provider Home Page (800) 541-5555 (outside of California, please call (916) 636-1980). Provider Overpayments P.O. Box 997425, MS 4720 Sacramento, CA 95899-7425

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Authorizations & Claims California

9 hours ago Dhcs.ca.gov Show details

800-639-0597Accessing Medi-Cal Eligibility Data System (MEDS) online Calling the GHPP at 1-800-639-0597 You submit a request (retroactive) for a service you provided without GHPP approval or authorization to a client who has other health insurance coverage. If a client has other health care insurance, the GHPP is a secondary payer or payer of last resort.

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MediCal Dental Program Contact Information MediCal

7 hours ago Dental.dhcs.ca.gov Show details

(800) 541-5555For automated messages providing member eligibility information, phone the Automated Eligibility Verification System (AEVS) at (800) 456-2387. When prompted, enter the information found on the Benefits Identification Card (BIC ID). For assistance with the eligibility message or the Medi-Cal website, call the Internet Help Desk at (800) 541-5555.

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MediCal Complaints California

9 hours ago Opa.ca.gov Show details

800-300-1506If you need help applying for low-cost coverage programs such as Medi-Cal visit www.coveredca.com or contact covered California at 1-800-300-1506. If you have a Medi-Cal Managed Care plan, you can call the Medi-Cal Managed Care Ombudsman at 1-888-452-8609 for guidance about how to address a problem or complaint.

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MediCal: Provider Home Page

7 hours ago Medi-cal.ca.gov Show details

The Medi-Cal fee-for-service program adjudicates both Medi-Cal and associated health care program claims. This website provides important information for all Medi-Cal providers on how to access billing, transaction and support services. For additional information, please click the following link for the Medi-Cal Provider Website Tour.

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Contact Us CalOptima

3 hours ago Caloptima.org Show details

888-587-80881-888-587-8088 Medi-Cal Customer Service Department. 1-855-705-8823 OneCare Connect Customer Service Department. 1-877-412-2734 OneCare Customer Service Department. 1 …

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MediCal: FAQs

7 hours ago Files.medi-cal.ca.gov Show details

800-456-2387Providers without access to the Medi-Cal website can call the Automated Eligibility Verification System (AEVS) at 1-800-456-2387 and receive a confirmation number and enter this number in the Remarks area/Reserved For Local Use field (Box 19) of the claim.

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Claims partnershiphp.org

4 hours ago Partnershiphp.org Show details

(707) 863-4527For EDI assistance, contact the EDI team at (707) 863-4527 or visit the EDI page by clicking here ​ Note: Mental Health Claims should be billed to Beacon.

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Contact MediCal Fastest, No Wait Time

7 hours ago Gethuman.com Show details

The best phone number and way to avoid the wait on hold, available live chat options, and the best ways overall to contact Medi-Cal in an easy-to-use summary, as well as a full comparison of the 2 ways to reach Medi-Cal, compared by speed and customer recommendations.

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Claims and Eligibility CalOptima

7 hours ago Caloptima.org Show details

714-246-8600Contact Us Providers and other health care professionals with questions regarding Medi-Cal, OneCare Connect, OneCare or PACE can call the Provider Relations department at 714-246-8600 or email: [email protected] Electronic Data Interchange (EDI) Eligibility/Benefit Inquiry and Response (270/271)

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MediCal Program San Diego County, California

2 hours ago Sandiegocounty.gov Show details

866-262-9881Medi-Cal is California's Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources. For more information call 1-866-262-9881. Eligibility Requirements. Benefits.

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MediCal Riverside County Department of Public Social

5 hours ago Dpss.co.riverside.ca.us Show details

Medi-Cal. Medi-Cal is no or low cost health care coverage for California residents with limited income and resources. The program is California’s version of the Federal Medicaid program and is funded by state and federal tax revenue. Medi-cal provides health coverage for children, pregnant women, families, the elderly, blind, and disabled.

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HPSJ Contact Information

2 hours ago Hpsj.com Show details

209.942.6328Health Plan of San Joaquin has an Enrollment Team dedicated to providing FREE Medi-Cal Application assistance. Enrollment If you are interested in becoming a Health Plan of San Joaquin (HPSJ) member, please contact our Enrollment Team at our Toll Free number 1.888.896.PLAN (7526) or 209.942.6328 , or fill out and submit the interest form, and

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California MediCal Kaiser Permanente

5 hours ago Thrive.kaiserpermanente.org Show details

800-557-4515If you have questions about these requirements or Medicaid Eligibility, contact us at 1-800-557-4515 (Spanish: 1-800-545-7263) or 711 (TTY) from 8am to 8pm, seven days a week. County Health & Human Services Agencies You may call your county Health and Human Services to request an application for Medi-Cal or check on the status of your application.

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MediCal NewsFlash: COVID19 Vaccination Administration

Just Now Files.medi-cal.ca.gov Show details

916-636-1200Border providers and out-of-state billers billing for in-state providers should call 1-916-636-1200. The latest information is available on Medi-Cal’s COVID-19 Response landing page.

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Contact Us California Medicaid Anthem

7 hours ago Mss.anthem.com Show details

800-407-4627Medi-Cal: 1-800-407-4627 (TTY 711) MRMIP: 1-877-687-0549 (TTY 711) Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Blue Cross of California Partnership Plan, Inc. are independent licensees of the Blue Cross Association.

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MediCal: Transaction Services Available

8 hours ago Filessysdev.medi-cal.ca.gov Show details

800-541-5555Medi-Cal providers must have a user ID and password with a Medi-Cal Point of Service (POS) Network/Internet Agreement on file to log on to Transaction Services. For assistance with Internet transactions, please contact the Telephone Service Center (TSC) at 1-800-541-5555 and follow the prompts for the appropriate service.

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Third Party Liability and Recovery Online Forms California

4 hours ago Dhcs.ca.gov Show details

The Medi-Cal ID number can be found on the member’s ID card as indicated in the examples below. The number required within the online forms is comprised of the first 9 characters of the ID beginning with “9”, followed by 7 additional numbers, and ending with a letter.

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MediCal Dental Program Contact Us

8 hours ago Dental.dhcs.ca.gov Show details

State of California. Saving your location allows us to provide you with more relevant information.

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Contact Us California Provider Anthem Blue Cross

9 hours ago Providers.anthem.com Show details

Anthem Blue Cross Cal MediConnect Plan. Anthem Blue Cross Cal MediConnect Plan. P.O. Box 60007. Los Angeles, CA 90060-0007. For a full list of contact information, please refer to the provider manual: View the Medi-Cal and MRMIP provider manual. View the Anthem Blue Cross Cal MediConnect Plan (Medicare-Medicaid Plan) provider manual.

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TPLRD Personal Injury Program California

1 hours ago Dhcs.ca.gov Show details

Please submit the notification online or by mail within 30 days of filing an action or claim. The notification must include the following pursuant to W&I Code Section14124.73(c): The date of the Medi-Cal member’s injury, the Medi-Cal member’s Medi-Cal identification number, the contact information of the liable third party or insurer,

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Contact Us Customer Service Cigna

3 hours ago Cigna.com Show details

(800) 997-1654Contact Cigna Customer Service at 1 (800) 997-1654 or visit this page to find specific phone numbers for plan and coverage questions or a claims mailing address.

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MediCal: Login to MediCal

3 hours ago Files.medi-cal.ca.gov Show details

Login to Medi-Cal. Login Help. WARNING: This computer system is for official use by authorized users and may be monitored and/or restricted at any time. Confidential information may not be accessed or used without authorization. Unauthorized or improper use of this system may result in administrative discipline, civil and/or criminal penalties.

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MediCal: NPI

7 hours ago Filessysdev.medi-cal.ca.gov Show details

The NPI is 10 digits in length and will replace health care provider identifiers in use today, including the nine-digit Medi-Cal provider number. To comply with this requirement, the Centers for Medicare & Medicaid Services (CMS) developed the National Plan and Provider Enumeration System (NPPES) to assign these unique identifiers.

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MediCal Health Care – Alameda County, California

3 hours ago Achealthcare.org Show details

If you would like more information, contact Alameda Alliance for Health or Blue Cross. If you have both Medi-Cal and Medicare, you can opt to have a health plan coordinate your two health insurance plans. For more information on this, please see this section of the website. For further information on Medi-Cal, see: Medi-Cal and You Handbook (PDF)

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MediCal Paraphrased Regulations

3 hours ago Cdss.ca.gov Show details

410-18I If person who no longer has linkage to Medi-Cal program but alleges disability on MC210 RV, county must continue Medi-Cal (ACWDL 06-17) 410-19 If county is sure that there is no need to transfer eligibility to another Medi-Cal program, no redetermination necessary but documentation must occur and notice must be sent (W&IC 14005.39)

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Attorney General Bonta Announces $3.31 Million Settlement

9 hours ago Oag.ca.gov Show details

The proposed settlement resolves allegations that the Downey-based company submitted fraudulent claims to Medi-Cal in violation of the state and federal False Claims Acts. Under the proposed settlement, SuperCare will pay a total of $3.31 million to multiple government plaintiffs, with California receiving approximately $327,000.

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MediCal Dental Provider Bulletin

7 hours ago Dental.dhcs.ca.gov Show details

(916) 853-7373For Electronic Data Interchange (EDI) enrollment information, please contact: • EDI Support at (916) 853-7373 or Medi[email protected] • Telephone Service Center at (800) 423-0507 Medicaid and CHIP Medi-Cal claims will be randomly selected and reviewed for the fiscal year beginning July 1, 2021 and ending June 30, 2022.

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California Medicaid MediCal 837 and 835

4 hours ago Payerlist.claimremedi.com Show details

800-541-5555• The provider service address must match the records on file at Medi-Cal. To verify, contact the Telephone Service Center at 800-541-5555 or 916-636-1200. • Signatures must be that of the provider or a member of the group. • Please Note: Some examples of acceptable signatures for group/facility enrollment are: Owner,

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MediCal: HIPAA: Crossover Claims

9 hours ago Filessysdev.medi-cal.ca.gov Show details

Medi-Cal will deny any NCPDP claim for a dual eligible recipient that should be directed to a COHS. These claims are not automatically transferred from Medicare through Medi-Cal to a COHS for payment, like other Part B crossover claims. Medi-Cal will accept NCPDP claims for products excluded from COHS coverage.

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MediCal Dental Program Contact Information MediCal

Just Now Dental.dhcs.ca.gov Show details

800-735-2922Medi-Cal Dental Member Contact Information. Please call 1-800-735-2922 for Teletext Typewriter (TTY) assistance. Please have the operator call the Toll-Free Member Line at 1-800-322-6384. To contact the Medi-Cal Dental Program, please call the Member Telephone …

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CSA MediCal

5 hours ago Csa-stanislaus.com Show details

877-652-0734You can apply for Medi-Cal at any time by mail, phone, fax, online or in person. Mail. Applications may be mailed to the county at: Stanislaus County CSA. PO Box 42. Modesto, CA 95353-0042. Phone. Applications may be initiated by calling the Customer Service Center at 1-877-652-0734. Fax.

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Welcome to the MediCal Dental Program

9 hours ago Denti-cal.ca.gov Show details

The Medi-Cal Program currently offers dental services as one of the program's many benefits. Under the guidance of the California Department of Health Care Services, the Medi-Cal Dental Program aims to provide Medi-Cal members with access to high-quality dental care.

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MediCal: References

Just Now Filessysdev.medi-cal.ca.gov Show details

Medi-Cal References have an assortment of helpful materials, listings and announcements to facilitate participation in the Medi-Cal program. Policy Adverse Childhood Experiences (ACEs) Provider Training Attestation

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MediCal NewsFlash: November 2021 Virtual Claim Assistance

3 hours ago Filessysdev.medi-cal.ca.gov Show details

August 11, 2021. Receive free one-on-one billing assistance at our virtual Claims Assistance Room (CAR) event scheduled for the month of November. There are multiple morning and afternoon sessions available. Providers must register through the Medi-Cal Learning Portal Event Calendar. Reminder: First time users must complete a one-time registration.

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MediCal (for People with Medicare) California Health

Just Now Cahealthadvocates.org Show details

Medi-Cal, the Medicaid program in California, provides health coverage to people with low-income and asset levels who meet certain eligibility requirements.While there are several ways to qualify for Medi-Cal, this section focuses only on Medi-Cal beneficiaries who also qualify for Medicare — individuals who are over a certain age and/or disabled.

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MediCal Santa Clara Family Health Plan

8 hours ago Scfhp.com Show details

888-202-3353Do you have Medi-Cal and Medicare? Enroll in Cal MediConnect and combine your benefits into one plan with one ID card and one phone number. Call our licensed sales agents at 1-888-202-3353, 8 a.m. to 5 p.m., Monday through Friday, to enroll or learn more. Why choose Santa Clara Family Health Plan's Medi-Cal Plan? With Santa Clara Family Health

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MediCal NewsFlash: COVID19 Testing: Billing Update for

Just Now Filesaccepttest.medi-cal.ca.gov Show details

Providers are reminded to utilize the Medi-Cal Benefits Identification Card (BIC) number when submitting claims to the FFS claims processing system for students in the managed care delivery system. All existing allowable provider types for the COVID-19 test codes today will be eligible to bill for the tests provided in schools.

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MediCal: Billing Tips

6 hours ago Filesaccepttest.medi-cal.ca.gov Show details

Billing Tips. Medi-Cal Billing Tips provides links to important billing information. Providers can access billing tips on the following topics: California Children's Services (CCS), duplicate claim denials, Durable Medical Equipment (DME), eligibility, Family PACT, managed care plans, medical supplies, the National Provider Identifier (NPI) paper claims, pharmacy claims and on resolving an

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MediCal: Publications

4 hours ago Filesaccepttest.medi-cal.ca.gov Show details

07/28/2021. New and Replacement Medication for Beneficiaries Impacted by the State of Emergency. Guidance for dispensing medication and medical supplies for those displaced by the state of emergency caused by the Lava and Beckwourth Complex fires. Pharmacy. 07/23/2021. October 2021 Medi-Cal Provider Training Webinars.

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Current MediCal News

8 hours ago Filesaccepttest.medi-cal.ca.gov Show details

Access automated provider services for claims, eligibility inquiry and other Medi-Cal services New Provider Welcome new providers, access content to help you get started with Medi-Cal

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MediCal: Publications

Just Now Filessysdev.medi-cal.ca.gov Show details

DHCS Notice. 07/28/2021. New and Replacement Medication for Beneficiaries Impacted by the State of Emergency. Guidance for dispensing medication and medical supplies for those displaced by the state of emergency caused by the Lava and Beckwourth Complex fires. Pharmacy. 07/23/2021. October 2021 Medi-Cal Provider Training Webinars.

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Frequently Asked Questions

Does medi cal cover methadone?

Federal, state, and local funds go to programs through county and direct provider contracts to assist with payment for services to patients who are unable to pay. Funding sources also include Medi-Cal, and third- party payers such as insurance companies. Medi-Cal currently covers methadone, LAAM, and naltrexone.

Can i have medi cal and private insurance?

You can have Medi-Cal even though you have Other Health Coverage (OHC) through individual or group private health (or dental) insurance coverage. If you are a Medi-Cal beneficiary and have individual or group private health (or dental) insurance coverage, you are required by federal and state law to report it.

What does medi cal cover?

Medi-Cal covers home health services that are medically necessary, like skilled nursing care and medical equipment. For individuals who need ongoing, non-skilled care like assistance with bathing, cooking, and chores, California has the In-Home Supportive Services (IHSS) Program.

What does medical claims do?

Medical claims are medical bills submitted to health insurance carriers and other insurance providers for services rendered to patients by providers of care. When you go to the doctor, hospital or other provider, your service generates a bill.

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