CenCal Health Payer ID 95386 — EDI & Claim Status

Coverage profile

How Substrate can help you with CenCal Health

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

Eligibility

EDI 270/271

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

Available

Frequently asked questions

CenCal Health payer FAQs

What is the payer ID for CenCal Health?

The primary payer ID for CenCal Health is 95386. 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 CenCal Health?

The 837P and 837I payer ID for CenCal Health is 95386 via Stedi.

What is the 835 payer ID for CenCal Health?

The 835 payer ID for CenCal Health is 95386 via Stedi.

What is the 270 payer ID for CenCal Health?

The 270 payer IDs for CenCal Health are 95386 via Stedi and 101173 via Availity.

What state does CenCal Health operate in?

CenCal Health operates in CA.

Routing reference

CenCal Health 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.

CenCal Health payer name, operating states, and transaction-specific payer IDs
Payer name	CenCal Health
Operating states	CA
837P professional claims payer IDStedi	`95386`
837I institutional claims payer IDStedi	`95386`
835 ERA payer IDStedi	`95386`Enrollment required
270 eligibility payer IDStedi	`95386`
270 eligibility payer IDAvaility	`101173`

Payer contact directory

CenCal Health phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Other stated context phone: (714) 220-2297UFCW JOINT TRUST FUND

CenCal Health payer phone and fax directory
Channel and number	Payer Notes	Department	Specialties
phone(800) 541-6652	Other stated context, PharmacyBenefit context: Other or Additional Payor	BLUE SHIELD - PPO EXTERNAL RX BLUE SHIELD OF CA - FEP HMO BLUE SHIELD OF CALIFORNIA PPO	Health Benefit Plan Coverage
phone(844) 657-2460	PharmacyBenefit context: Other or Additional Payor	WELLCARE PDP RX ONLY	Health Benefit Plan Coverage
phone(800) 445-9090	DentalBenefit context: Other or Additional Payor	UNITED HEALTH CARE DENTAL	Health Benefit Plan Coverage
phone(800) 521-2651	DentalBenefit context: Other or Additional Payor	DELTA DENTAL INSURANCE COMPANY	Health Benefit Plan Coverage
phone(800) 553-6542	DentalBenefit context: Other or Additional Payor	DENTAL BENEFIT PROVIDERS	Health Benefit Plan Coverage
phone(800) 585-8111	DentalBenefit context: Other or Additional Payor	BLUE SHIELD OF CA DENTAL PLAN	Health Benefit Plan Coverage
phone(888) 335-8227	DentalBenefit context: Other or Additional Payor	DELTA DENTAL OF CALIFORNIA	Health Benefit Plan Coverage
phone(888) 802-3862	DentalBenefit context: Other or Additional Payor	AETNA US HEALTHCARE DENTAL	Health Benefit Plan Coverage
phone(714) 220-2297	Other stated contextBenefit context: Other or Additional Payor	UFCW JOINT TRUST FUND	Health Benefit Plan Coverage
phone(800) 222-6700	Other stated contextBenefit context: Other or Additional Payor	CIGNA HEALTH CARE	Health Benefit Plan Coverage
phone(800) 244-6224	Other stated contextBenefit context: Other or Additional Payor	CIGNA HEALTHCARE	Health Benefit Plan Coverage
phone(800) 281-6918	Other stated contextBenefit context: Other or Additional Payor	HUMANA INSURANCE COMPANY HUMANA, INC.	Health Benefit Plan Coverage
phone(800) 282-2881	Other stated contextBenefit context: Other or Additional Payor	EXPRESS SCRIPTS	Health Benefit Plan Coverage
phone(800) 442-7247	Other stated contextBenefit context: Other or Additional Payor	HEALTHCOMP ADMINISTRATORS	Health Benefit Plan Coverage
phone(800) 677-6669	Other stated contextBenefit context: Other or Additional Payor	ANTHEM BLUE CROSS	Health Benefit Plan Coverage
phone(800) 776-4466	Other stated contextBenefit context: Other or Additional Payor	BLUE SHIELD 65 PLUS HMO	Health Benefit Plan Coverage
phone(800) 842-2012	Other stated contextBenefit context: Other or Additional Payor	EXPRESS SCRIPTS	Health Benefit Plan Coverage
phone(833) 570-6670	Other stated contextBenefit context: Other or Additional Payor	AETNA MEDICARE CORE PPO	Health Benefit Plan Coverage
phone(855) 570-1600	Other stated contextBenefit context: Other or Additional Payor	NAVITUS HEALTH SOLUTIONS	Health Benefit Plan Coverage
phone(866) 227-9863	Other stated contextBenefit context: Other or Additional Payor	MEDICARE RETRO BILLING	Health Benefit Plan Coverage
phone(866) 235-5660	Other stated contextBenefit context: Other or Additional Payor	SILVERSCRIPT INSURANCE CO	Health Benefit Plan Coverage
phone(866) 634-2247	Other stated contextBenefit context: Other or Additional Payor	ALIGN HLTH CALPLUSDUALS DSNP ALIGNMENT HEALTH PLAN PLATINUM	Health Benefit Plan Coverage
phone(877) 889-6510	Other stated contextBenefit context: Other or Additional Payor	AARP/UHC MEDICARERX	Health Benefit Plan Coverage
phone(888) 581-3648	Other stated contextBenefit context: Other or Additional Payor	EYE MED	Health Benefit Plan Coverage
phone(888) 624-1139	Other stated contextBenefit context: Other or Additional Payor	CAREMARK	Health Benefit Plan Coverage
phone(888) 632-3862	Other stated contextBenefit context: Other or Additional Payor	AETNA US HEALTHCARE PPO	Health Benefit Plan Coverage
phone(888) 772-9682	Other stated contextBenefit context: Other or Additional Payor	AETNA VISION	Health Benefit Plan Coverage

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

101173
11106
3568
95386
99111
Z1243
Central California Health
Santa Barbara Regional Health Authority
CENCAL