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Getting Started: Eligibility Verification

Checking eligibility prior to providing any service is extremely important to assure that the member is eligible for coverage under one of CenCal HEALTH’s programs.This verification will help prevent a delay in payment. Click here for useful information on eligibility verification as well as the link to the CenCal Health Eligibility Verification Portal. Once you have registered with our Provider Services Department to obtain a User Name and Password, you will have the access to the Portal.If you already have a User Name and Password, you may directly access the Eligibility Verification Portal here. Once you have verified eligibility and find the member to be eligible, you are ready for the next step: Billing