Payer Contacts, IDs & Links
California Provider Portal Directory
Find California Medi-Cal and commercial payer portals, provider contacts, claims resources, and electronic submission details—all in one place. Quickly access the payer information your team uses most.
California Payer Resources
California Billing and Portal Access
California billing workflows often involve moving between Medi-Cal fee-for-service tools, county-dependent Medi-Cal managed care plan portals, Medi-Cal Rx pharmacy resources, and commercial payer websites. Tasks like eligibility verification, claim status checks, remittance review, prior authorization research, and electronic claim setup are often handled across different systems depending on the payer.
Most California practices work across a mix of Medi-Cal fee-for-service, Medi-Cal managed care, Medi-Cal Rx, and commercial insurers, each with its own portal structure and submission process. Consistent access to those payer resources is part of maintaining steady billing operations and avoiding unnecessary delays during follow-up.
Claims Resources
Quick access to official claims and payment pages for common California payers.
Provider Portals
Find the right login path for eligibility, claim status, remits, and account tools.
Key Contacts
Reference important provider phone numbers without digging through multiple sites.
EDI Notes
See available payer ID guidance and where your team should confirm setup details.
California Directory
California Payer Contacts, Portals, and Billing Notes
Use this table to access commonly used California payer portals, provider contacts, and claims resources. For claim-specific questions or submission requirements, confirm details directly with the payer.
| Payer | Plan Type | Portal / Claims Resource | Main Provider Contact | EDI / Payer ID Note |
|---|---|---|---|---|
| Medi-Cal | Fee-for-service Medicaid | DHCS Provider Portal | Medi-Cal Telephone Service Center: 800-541-5555 | Use DHCS provider portal and registration guides to confirm electronic billing, submitter setup, and transaction access |
| Medi-Cal Rx | Statewide Medi-Cal pharmacy benefit | Medi-Cal Rx Provider Portal | Medi-Cal Rx Customer Service: 800-977-2273 | Use the Medi-Cal Rx portal for pharmacy claims, prior authorization, member eligibility lookup, and related pharmacy workflows |
| L.A. Care | Medi-Cal managed care | L.A. Care Provider Portal | Provider portal access for eligibility, benefits, claim status, and forms | Confirm county-specific participation and claim routing before submission |
| Blue Shield of California Promise Health Plan | Medi-Cal managed care | Blue Shield Promise provider site | Provider Services: 800-468-9935 | Blue Shield Promise providers use Provider Connection to access eligibility, claims, and authorizations information online |
| Health Net Community Solutions | Medi-Cal managed care and other plan types vary by product | Health Net provider hub | Claims submission resources | Health Net supports portal and EDI claim workflows; verify routing by product and county |
| Molina Healthcare of California | Medi-Cal managed care and other plan types vary by product | California providers home | Molina Provider Contact Center: 855-322-4075 | Availity Essentials is the official provider portal for Molina Healthcare providers |
| Blue Shield of California | Commercial and Medicare Advantage varies by product | Provider Connection | Provider Services: 800-541-6652 | Use Provider Connection for eligibility, claims, authorizations, and training resources |
| Anthem Blue Cross California | Commercial and other plan types vary by product | Anthem California provider hub | Claims overview | Anthem uses Availity for claims and many provider self-service functions |
| UnitedHealthcare California | Commercial, Medi-Cal managed care, and Medicare Advantage varies by plan | California health plan resources | Claims and payments page | Verify payer ID by claim type and clearinghouse configuration |
| Aetna | Commercial and Medicare Advantage varies by plan | Aetna on Availity | Use Availity for claims, eligibility, authorizations, and referrals | Verify payer ID by product and clearinghouse |
| Cigna Healthcare | Commercial | Submit claims and portal tools | Cigna for Health Care Professionals portal | Medical payer ID listed as 62308 |
Workflow Guidance
How To Use This Directory Effectively
This directory works best as an operational reference that staff can return to during daily billing work. It can help standardize where payer information is accessed and reduce time spent searching across separate websites.
Best practices
- Bookmark this page for billers, practice managers, and front-office staff.
- Verify payer IDs before first submission or when changing clearinghouses.
- Refresh this page regularly to keep phone numbers, portal links, and claims notes current.
California Medicaid
Medi-Cal
The DHCS Provider Portal is one of the most important links for in-state billing teams. It supports core functions such as day-to-day provider portal work, registration, secure transaction access, and other Medi-Cal operational tasks.
For many California practices, this is the first stop for fee-for-service Medi-Cal activity and general provider reference materials, while Medi-Cal Rx should be kept close by for pharmacy-specific workflows.
California Medi-Cal Managed Care
L.A. Care, Blue Shield Promise, Health Net, and Molina
California practices often work across multiple county-based Medi-Cal managed care plans, which means staff need fast access to different claim tools, provider contacts, and prior authorization pathways. Keeping those links organized can reduce follow-up delays and cut down on submission errors.
These plans are often central to day-to-day billing activity across the state and are worth keeping near the top of the directory.
Recommended priorities on the California page:Payer-by-Payer Resource Hub
California Payer Notes
Commercial Payer Access
Blue Shield, Anthem, UnitedHealthcare, Aetna and Cigna Provider Tools
California billing teams also need easy access to commercial payer workflows. Blue Shield of California offers Provider Connection tools, Anthem Blue Cross uses Availity for claims and provider self-service, UnitedHealthcare centralizes California plan resources and claims support, Aetna uses Availity as a major provider access point, and Cigna offers claims resources through its provider portal and claim submission pages.
Including commercial payer links alongside Medi-Cal resources creates a more complete reference point for practices working across multiple plan types.
Helpful use cases
- Eligibility verification for scheduled visits and follow-up care
- Claim status review when payments are delayed or unclear
- Authorization research before high-cost or specialty services
Frequently Asked Questions
Is this page meant to replace payer websites?
No. This page is designed as a fast-access resource hub. Staff should still verify submission requirements, portal instructions, and payer IDs on the official payer site before acting.
Why not list every payer ID on the page?
Some payer IDs vary by claim type, product line, clearinghouse, or transaction. Listing only verified information and prompting users to confirm setup helps reduce avoidable submission errors.
Who should use this California payer directory?
This page is useful for independent practices, physician groups, hospitals, billing companies, credentialing teams, and revenue cycle staff handling California claims.