CenCal 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

Non-pharmacy claims assistance and paper claims

Official page read
Phone805-562-1083Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address
CenCal Health, P.O. Box 948, Goleta, CA 93116-0948

Original non-pharmacy claims; the claims page names CMS-1450/UB-04 and CMS-1500.

Hours withheld: claims page lists 8:30 a.m.–4 p.m., department page adds noon–1 p.m. lunch closure, and disputes page lists 8 a.m.–5 p.m. The original-claim PO Box is separate from claim corrections. The legacy pharmacy/MedImpact address is not imported. Local Medi-Cal health plan for Santa Barbara and San Luis Obispo counties. CenCal CareConnect is a distinct HMO D-SNP product; verify product and eligibility before using a route.

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

claims

Claim corrections — Claims Mailroom

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address
CenCal Health, Attn: Claims Mailroom, 4050 Calle Real, Santa Barbara, CA 93110

Completed claim-correction forms for previously submitted claims, as instructed on the product-specific page; not original claims.

Follow the form instructions and choose the correct product and provider-contract status. This address is not generalized to all provider appeals. Local Medi-Cal health plan for Santa Barbara and San Luis Obispo counties. CenCal CareConnect is a distinct HMO D-SNP product; verify product and eligibility before using a route.

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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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