Claims

We're going paperless! Providers can avoid postal delays and get paid faster by enrolling in Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA). To learn more about how to enroll please see our EDI, EFT and ERA Guide.

Electronic Claims Submissions (EDI), Payments (EFT) and Remits (ERA)

Please select the member’s home region below to view detailed information on claims processes, procedures, and appeals:

Northern California
Southern California
Colorado
Georgia
Hawaii
Mid-Atlantic States
Northwest

Medi-cal DHCS All Plan Letter
CMS Audit Requirements
Important Regulatory Compliance Information
Dual Language for Provider Communications

Claims - Ambulance

For inquiries about the claims process for ground and air transport, please contact Relation Insurance Services (formerly Employer's Mutual Incorporated) at 888-505-0468.