Payer ID
CALOP
CALOP is the payer code for CalOptima Health Direct. Members in a contracted network (e.g. CHOC Health Alliance) bill the network instead. (California)
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse
Office Ally / Change Healthcare
Provider Services
714-246-8600
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://provider.caloptima.org/
California Medi-Cal managed-care plan (County Organized Health System) serving Orange County. Claims delegated to multiple health networks.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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