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IMPORTANT NOTICE

CenCal Health was notified that Change Healthcare, a clearinghouse that sends EDI claims and Electronic Remittance Advices (ERAs),has experienced a cyber security issue. Access to Change Healthcare’s system is restricted until the issue is resolved. We do not currently have a timeframe for resolution.

If you submitted any claims through Change Healthcare after February 20^th, they have not been received by CenCal Health. This means that the amount of your payment from CenCal Health may be impacted until we receive your claims. We would like to assist you in alternative ways to submit your claims to CenCal Health, including:

Submitting claims via paper to us at:

CenCal Health
P.O. Box 948
Goleta, CA 93116-0948

Submitting claims to an alternative clearinghouse of your choice.
Submitting claims through AdminisTEP, who works directly with CenCal Health:

Provider Enrollment Phone Line: (214) 440-3141
Provider Enrollment Email: AdministepProviderEnrollment@administep.com
Claims Questions/HelpDesk/Support Email: AdministepProdSupport@administep.com
Sign-up via their Portal at: https://administep.com/sign-up/

Submitting Claims directly to CenCal Health via our secure Provider Portal
Retrieving ERAs on our secure Provider Portal

CenCal Health understands that this issue may cause a disruption to your business operations. We apologize for the inconvenience and are committed to working with you on an alternative process during the Change Healthcare outage.

If you have any specific concerns regarding the current outage or have a financial hardship due to a potential disruption to your upcoming payment, please contact our Provider Relations Department at (805) 562-1676.

We Believe Providers are Partners

CenCal HEALTH‘s success is a direct reflection on the efforts of local health care providers. Every one of our partnerships is essential. Together, we share the goal of improving the health and well-being of the people on the Central Coast.

CenCal Health is focused on making it easier for local providers to serve our members and deliver the highest quality of care. We are publicly governed, non-profit and directly accountable to the communities we serve.

CenCal Health is proud to provide health care access to members of our community who would otherwise go without coverage by contracting with a strong network. In fact, 94% of local providers are contracted with us.

CenCal Health’s Provider Manual

The Provider Manual includes information such as Provider enrollment, Responsibilities, Claims information, Member eligibility, Guidelines for medical authorizations. We are here for you.

The Provider Bulletin newsletter

Our Provider Bulletin newsletter is a valuable notice that is produced as an informative service for providers and office staff and is published every month by the Provider Services Department. It includes information on new programs, changes to member benefits, educational opportunities, claims related detail and more. Sign up here if you would like to receive the Provider Bulletin electronically.