Coverage profile
How Substrate can help you with California Health and Wellness
Substrate can help practices and billers with the following claims tasks for California Health and Wellness.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with California Health and Wellness.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for California Health and Wellness.
Frequently asked questions
California Health and Wellness payer FAQs
Can I automate California Health and Wellness portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for California Health and Wellness?
The primary payer ID for California Health and Wellness is 68047. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for California Health and Wellness?
The provider portal for California Health and Wellness is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for California Health and Wellness?
The 837P and 837I payer ID for California Health and Wellness is 68069 via Stedi.
What is the 835 payer ID for California Health and Wellness?
The 835 payer ID for California Health and Wellness is 68069 via Stedi.
What is the 270 payer ID for California Health and Wellness?
The 270 payer ID for California Health and Wellness is 68069 via Stedi.
What is the 276 payer ID for California Health and Wellness?
The 276 payer IDs for California Health and Wellness are 68069 via Stedi and 68069 via Availity.
Routing reference
California Health and Wellness payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | California Health and WellnessSource: Substrate payer directory · last refreshed |
|---|---|
| 837P professional claims payer IDStedi | 68069Source: Stedi payer catalog · catalog dated · matched by payer name |
| 837I institutional claims payer IDStedi | 68069Source: Stedi payer catalog · catalog dated · matched by payer name |
| 835 ERA payer IDStedi | 68069Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 270 eligibility payer IDStedi | 68069Source: Stedi payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 68069Source: Stedi payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDAvaility | 68069Source: Availity payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .
- Stedi payer catalogMatched by payer name; matched record: Centene (Medical). Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer name; matched record: CALIFORNIA HEALTH AND WELLNESS. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Other aliases
Also known as
- 68047