Claims And Eligibility

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If you have questions or need assistance, call our Provider Relations Department at:


Monday through Friday from 8 a.m. to 4 p.m. Pacific Time

Paper Claims Require New CMS 1500 Form

The new CMS 1500 Form (version 02/12) is the required format for submitting paper claims to CalOptima effective June 1, 2014.

Crossover Claim Update

Effective June 1,2014, all claim submissions for dual eligible Medicare and Medi-Cal crossover claims should be sent to: CalOptima, P.O. Box 11070, Orange, CA 92856. For claim status, please contact Customer Service at CalOptima at 1-714-246-8885.

Introducing CalOptima Link

CalOptima announces the launch of our new and improved web portal, CalOptima Link. Effective May 1, 2012, Provider Online Tools (POLT) will no longer be available.

How to Reach Us

If you are a provider or other health care professional and have a question regarding the Medi-Cal, Healthy Families Program or OneCare (HMO SNP), please call our Provider Relations Department at 1-714-246-8600.

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