For Providers

Our Partners in Health Care

CalOptima’s success is a reflection of our partnerships with local health care providers. Together, we share the goal of delivering quality care to
our members.

As the second largest health insurer in Orange County, CalOptima is proud our members have access to a comprehensive network of providers that includes 3,700 doctors, more than 450 pharmacies and a majority of the hospitals and long term care facilities in the area.

Every one of our partnerships with local health care providers is essential to us. Our goal is to make it easier for providers to do the best possible job of serving our members.

This section is designed exclusively for our providers. You can:

  • Check claims.
  • Check member eligibility.
  • Submit prior authorizations.
  • Find health education materials for your patients.
  • Learn about CalOptima's policies and procedures.
  • Access pharmacy formulary information and guidelines.
  • And much more

Providers and other health care professionals who have questions regarding Medi-Cal, Healthy Families, Healthy Kids or OneCare (HMO SNP) programs can call our Provider Relations Department at 1-714-246-8600.









Text Size