Portals

Portal Instructions

Member Portal

What is the Member Portal?

The Member Portal is a secure online website where you have 24-hour access to CalOptima Health from anywhere with an internet connection. By having a secure username and password, you can view your personal information and do things like:

- Request a member ID card
- Print a temporary member ID card
- Change your primary care provider (PCP)
- Change your health network
- Contact Customer Service electronically
- Update your contact information

How to get started

Click the link below to register. Once your registration is complete, you can sign in to the Member Portal and begin using it.

Be sure to have your member ID card with you. You will need details on it, such as your member ID number to register.

Already registered? Click here to sign in.

A healthcare professional in a blue scrubs shirt works on a laptop at a desk, with a smartphone and plants in the background.

Provider Portal

What is the Provider Portal?

The Provider Portal is a secure online website where you have 24-hour access to CalOptima Health from anywhere with an internet connection. By having a secure username and password, authorized provider users can:

- Verify member eligibility
- Check claims history
- Check authorizations status
- Submit referrals

How to get started

Each provider office must complete and sign the Provider Portal Access Agreement and User Roster and return it to CalOptima Health prior to access being permitted. CalOptima Health is using a tiered approach for the registration process. To begin the registration process, please contact Provider Relations at 714-246-8600.

For more information on how to make the best use of the Provider Portal, please download and review the reference materials below.

A healthcare professional in scrubs works intently on a laptop at a sunlit desk, with a stethoscope around their neck.

Provider Portal Training

This training provides an overview to familiarize new users with the features of CalOptima Health’s Provider Portal, such as accessing member data, checking the status of claims and submitting referrals. For more detailed instructions on how to complete specific tasks, please refer to the Provider Portal Reference Guide.