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For CalOptima Health Providers As the largest health insurer in Orange County, CalOptima Health is proud that our members have access to a comprehensive network of providers that includes nearly 8,400 primary care providers and specialists, 600 pharmacies, 40 hospitals and 200 long-term care facilities
Submitting Claims to CalOptima Health for Providers Call 800-541-5555 (Medi-Cal only) CalOptima Health Eligibility and Benefits Reference Guide Learn more about the transmission of claims data, benefit eligibility and claim status inquiry Electronic Data Interchange and Interoperability Resources
Find A Provider - CalOptima Your primary care provider (PCP) will refer you to specialists and services connected with their medical group, health network or with CalOptima Health If you are going to a specialist already, talk with your PCP or call CalOptima Health Customer Service at 1-855-877-3885 (TTY 711)
CalOptima Health Provider FAQs Providers and other health care professionals with questions regarding Medi-Cal, OneCare or PACE can call the Provider Relations department at 714-246-8600 or email Provider Services
Find a Provider - caloptima. org Click on a provider’s name for more information, such as office hours, accepted insurance plans and directions Once you find the right provider, you can contact them directly to make an appointment or ask additional questions
Health Network Resources - CalOptima General Contacts Address: 11 Technology Drive Irvine, CA 92618 Phone Numbers: General Member Line: 1-888-656-7523 (toll-free) 24 Hour: 1-888-656-7523 (toll-free) Provider Claims Line: 1-888-767-2222 (toll-free) or 1-949-923-3200 Website: www monarchhealthcare com
Orange County - DHCS Use the contact numbers below Use the information here to contact the MLTSS health plan in your county Use the information here to contact the PACE plans in your county