CalOptima Health
Also covers / subsidiaries: CalOptima, Orange County Medi-Cal
Core Payer & Clearinghouse Profile
Electronic Payer ID
COLTC
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 Gateway
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.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for CalOptima Health.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under CalOptima Health.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Caloptima | COLTC | Non-Par | None | 837I |
| Caloptima | 10972 | Non-Par | None | 276/277 |
| Caloptima Direct | CALOP | Non-Par | Required | 837P837I835 ERA |
Resolution Tools for CalOptima Health Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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