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CalOptima

Primary payer ID
CALOPCompare transaction IDs ↓
Last successful claim statusWithin the past monthObserved across Substrate's claim-status network.
Currently not answeringEDI 276/277EDI 270/271

Is your practice experiencing high volumes of no response claims or denials from CalOptima? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with CalOptima

Substrate can help practices and billers with the following claims tasks for CalOptima.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with CalOptima.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with CalOptima.

Available

Frequently asked questions

CalOptima payer FAQs

How do I check claim status with CalOptima?

Providers check CalOptima via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for CalOptima?

The primary payer ID for CalOptima is CALOP. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What are the 837 payer IDs for CalOptima?

The 837P and 837I payer ID for CalOptima is CALOP via Stedi.

What is the 835 payer ID for CalOptima?

The 835 payer ID for CalOptima is CALOP via Stedi.

What is the 270 payer ID for CalOptima?

The 270 payer IDs for CalOptima are CALOP via Stedi and 101160 via Availity.

What is the 276 payer ID for CalOptima?

The 276 payer IDs for CalOptima are CALOP via Stedi and 101160 via Availity.

What state does CalOptima operate in?

CalOptima operates in CA.

Resource library

Routing reference

CalOptima 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.

CalOptima payer name, operating states, and transaction-specific payer IDs
Payer nameCalOptima
Operating statesCA
837P professional claims payer IDStediCALOP
837I institutional claims payer IDStediCALOP
835 ERA payer IDStediCALOPEnrollment required
270 eligibility payer IDStediCALOP
270 eligibility payer IDAvaility101160
276 claim status payer IDStediCALOP
276 claim status payer IDAvaility101160

Other aliases

Also known as

  • 059
  • 101160
  • 10972
  • 2903
  • 4221
  • 5914
  • CALOP
  • CALOPMA
  • CalOptima Direct
  • CalOptima Health