BREAKING NEWS
 
SITEMAP SEARCH
 
 


 
   
  For Providers - Providers Only (restricted)  
 
  CenCal Data Forms  
 
 

Welcome!

Welcome to CenCal data forms. From these pages you may electronically submit claims to CenCal and check member eligibility. You may also enter and check the status of Treatment Authorization Requests and print out a Medical Request Form (MRF) for completion and faxing purposes. To access these features, you must have a valid username and password. If you do not have one and are interested in accessing CenCal's electronic data forms pages, please contact:
 
Webmaster
CenCal Health
110 Castilian Drive
Goleta, Ca. 93117-3028
(805) 685-9525
  Click here to continue to the main forms entry page.




ABOUT SSL CERTIFICATES

 

 

©2007 CenCal Health 1.800.421.2560 • 1.805.685.9525     HOME FOR MEMBERS | PARA MIEMBROS | FOR PROVIDERS | ABOUT CENCAL HEALTH | CONTACT US