CalOptima Health

Claims and claim status

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

claims

Claims — provider resource telephone

Official page read
Phone714-246-8600Published hours

Not published in this record

Product, plan and location

medicaid · medicare advantage
California

Mailing address

Not researched for this route

Current Contact Us page labels this number for Claims and Provider Resource Line. Check the member’s assigned health network before submitting a claim.

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

claims

Claims — provider claim-status verification (EDI page)

Official page read
Phone714-246-8885Published hours

Not published in this record

Product, plan and location

medicaid · medicare advantage
California

Mailing address

Not researched for this route

Current EDI page specifically lists this number for provider claim-status verification. The general Contact Us page lists 714-246-8600 for Claims; both are retained with their published purposes, without a supersession claim.

View source ↗ · Source checked 2026-10-22 · Contact Us ↗

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

Make the call count.

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

Have ready in your secure workspace

  • Claim number, service dates and billed amount
  • Submission acknowledgement and remittance
  • Provider billing identifiers

Questions to resolve

  • Was the claim received and accepted for processing?
  • What specifically prevents payment or final processing?
  • Is a corrected claim, reconsideration or appeal the right route?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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