Providers Claims

Your Gateway to Claims

claimscontact

The Claims Team is dedicated to supporting our Provider Community through our excellent customer service. Our goal is to adjudicate your claims in an accurate, timely and efficient manner using highly-trained and dedicated employees. We are here and ready to help!

Submit a Claim Now

weeklycalendarStill using paper to submit claims? CenCal Health makes it easy for you to submit a claim. We have three ways to do so. Faster, easier, and direct. 

Please choose from one of the three tabs below.

CenCal Health strongly recommends submitting claims electronically. This allows faster payment with clean claims.



Claims Payment

CenCal Health now offers an easy and convenient way to view your Explanation of Payment (EOP) via the Provider Portal. Click here for more information.

electronic

claimspayElectronic:

To find out more about submitting claims electronically to CenCal Health, contact AdminisTEP by phone at (888) 751-3271 ext. 3141 or on the website at www.administep.com

If you are currently submitting electronically to CenCal Health you can reference the CenCal 5010 Companion Guide, and the Trading Partner Worksheet.

Please email CenCal Health’s EDI Workgroup for further information. 

File Transport Security

CenCal Health supports file transfers by FTP, FTPS and SFTP. If sending files using FTP, the files must be secured using PGP. Click here to download CenCal Health's public key.


CenCal Health website

site

CenCal Website

CenCal Health has implemented electronic billing through our web portal. It is fast and easy. In our website portal, you can edit claims at the time of entry to assure claims are clean and ready for payment. Visit our Provider Portal to get started.


paper

paperPaper

Still Billing Paper? Listed below are the mailing addresses and the different claim forms accepted by CenCal Health.

Non-Pharmacy Claims:
CenCal Health

P.O. Box 948
Goleta, CA 93116-0948

Claim Forms Accepted:
CMS-1450 (UB-04) – institutional services
CMS-1500 – professional services


Pharmacy Claims:
MedImpact Healthcare Systems, Inc.
Operations Department, Attn: Claims
10181 Scripps Gateway Ct.
San Diego, CA 92131

Claim Form Accepted:
Pharmacy Claim Form 30-1