Health plans and insurers

Gold Coast Health Plan

Phone, published email, fax, addresses and the next step for your office.

8 contact routesNo directory research calls placed

member services

Plan member services

Official page read
Phone888-301-1228Published hours

8 a.m.–8 p.m.; daily October 1–March 31 and Monday–Friday April 1–September 30, as published on the contact page.

Product, plan and location

Confirm the exact product or service
California

Mailing address

Not researched for this route

General contact-page member line. These are the current contact-page hours; provider support has separate hours. No Medicare product-specific claims route is inferred from this phone. County Organized Health System serving Ventura County. The website includes Medi-Cal and Total Care Advantage materials; select the correct product and delegated service. A published contact is not an eligibility or coverage determination.

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

claims

Medi-Cal paper claims and claims questions

Official page read
Phone888-301-1228Published hours

Not published in this record

Product, plan and location

medicaid
California

Mailing address
Gold Coast Health Plan, Attn: Claims, P.O. Box 9152, Oxnard, CA 93031-9152

Medi-Cal paper claims; the claims page expressly rejects claims submitted by fax.

The claims page’s Medi-Cal instructions and contact page agree on the PO Box. The general member/provider fax is deliberately not attached to claims. County Organized Health System serving Ventura County. The website includes Medi-Cal and Total Care Advantage materials; select the correct product and delegated service. A published contact is not an eligibility or coverage determination.

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

provider services

Provider relations and unresolved claims questions

Official page read
Phone

No phone listed for this route

Published email

ProviderRelations@goldchp.org

Provider Relations questions, concerns and site-visit requests; claims page also identifies unresolved underpayment/overpayment and benefit/claim questions.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address

Not researched for this route

General provider support and escalation mailbox, not original claim submission. County Organized Health System serving Ventura County. The website includes Medi-Cal and Total Care Advantage materials; select the correct product and delegated service. A published contact is not an eligibility or coverage determination.

provider enrollment credentialing

Initial contracting and credentialing application requests

Official page read
Phone

No phone listed for this route

Published email

ProviderContracting@goldchp.org

Request an initial practitioner or organizational-provider credentialing application from Contracting.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address

Not researched for this route

The provider-relations page also directs prospective in-network providers here. An application request does not establish a contract or effective date. County Organized Health System serving Ventura County. The website includes Medi-Cal and Total Care Advantage materials; select the correct product and delegated service. A published contact is not an eligibility or coverage determination.

provider enrollment credentialing

Practitioner and organizational recredentialing inquiries

Official page read
Phone

No phone listed for this route

Published email

Credentialing@goldchp.org

Recredentialing inquiries for practitioners and organizational providers.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address

Not researched for this route

Kept separate from the initial application request mailbox. County Organized Health System serving Ventura County. The website includes Medi-Cal and Total Care Advantage materials; select the correct product and delegated service. A published contact is not an eligibility or coverage determination.

appeals grievances

Provider disputes and grievances — written requests

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
Gold Coast Health Plan, Attn: Provider Disputes & Grievances, P.O. Box 9176, Oxnard, CA 93031

Completed provider reconsideration/dispute/grievance form as specified on the provider resources page.

The page distinguishes a previously denied/underpaid claim dispute, authorization appeal and grievance after an unsatisfactory dispute decision. Use the proper form and current notice; this is separate from original claims. County Organized Health System serving Ventura County. The website includes Medi-Cal and Total Care Advantage materials; select the correct product and delegated service. A published contact is not an eligibility or coverage determination.

email other

Legal inquiries and third-party liability records requests

Official page read
Phone

No phone listed for this route

Published email

Legal@goldchp.org

Legal inquiries and records requests; not routine provider medical-record exchange.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address

Not researched for this route

Physical address
Gold Coast Health Plan, 4880 Santa Rosa Road, Camarillo, CA 93012

Physical service address for third-party liability subpoenas or records requests, explicitly specified by Legal.

Legal records purpose is preserved. A headquarters location is not treated as the claims or grievance mailing destination. County Organized Health System serving Ventura County. The website includes Medi-Cal and Total Care Advantage materials; select the correct product and delegated service. A published contact is not an eligibility or coverage determination.

edi clearinghouse support

Edifecs claims and ERA connection onboarding

Official page read
Phone

No phone listed for this route

Published email

GCHPOnboardingRequests@edifecs.com

Edifecs trading-partner setup for electronic claims and 835 ERA connectivity; not ordinary claim-status or appeal attachments.

Published hours

Not published in this record

Product, plan and location

medicaid
California

Mailing address

Not researched for this route

The current page records the July 2024 transition and Edifecs-only claims connectivity from September 1, 2024. Older Xerox/Conduent-era EDI text remains below; its legacy route is not imported. County Organized Health System serving Ventura County. The website includes Medi-Cal and Total Care Advantage materials; select the correct product and delegated service. A published contact is not an eligibility or coverage determination.

Help the next office

How did your call go?

Share a structured call experience or flag a contact correction. Submissions are reviewed before publication. Patient details, recordings and documents do not belong here.

Share a call experience

Share a call experience

Suggest a contact correction

Suggest a correction

For healthcare offices

Found the contact. Still need to make the call?

Explore how DialClerk organizes the brief, hold time and staff handoff for your next administrative call.

For the people making the calls

Put payer follow-up
on your office’s worklist.

Explore DialClerk for queued calls, hold handling, staff handoffs and a record of the next step. Tell us how your team works.

A request does not create an account or start a call. Use business contact information only. No patient information.

See how it could work for your practice