CalViva Health
Also covers / subsidiaries: CalViva
Core Payer & Clearinghouse Profile
Electronic Payer ID
68069
Administered by Health Net Community Solutions; claims route through Health Net EDI/payer ID 68069 via Availity. CalViva has no independent payer ID.
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
365 days from receipt of Health Net's decision (Provider Dispute Resolution)
Clearinghouse Gateway
Availity (payer ID 68069)
Provider Services
888-893-1569
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
CalViva Health, P.O. Box 9020, Farmington, MO 63640-9020
Provider Portal
https://www.availity.com
Medi-Cal (Medicaid) managed-care plan for Fresno, Kings, and Madera counties (CA), administered by Health Net.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for CalViva Health.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under CalViva Health.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Absolute Total Care | 68069 | Non-Par | None | |
| Advantage By Bridgeway Health Solutions | 68069 | Non-Par | None | 837P837I835 ERA |
| Advantage By Buckeye Community Health Plan | 68069 | Non-Par | None | 837P837I835 ERA |
| Advantage By Managed Health Services | 68069 | Non-Par | None | 837P837I835 ERA |
| Advantage By Superior Healthplan | 68069 | Non-Par | None | 837P837I835 ERA |
| Advantage Health Solutions | 68069 | Par | None | 837P837I270/271Dental |
Resolution Tools for CalViva 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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