Payer ID
77160
EDI vendor changed to Edifecs (mandatory Sept 1, 2024); payer/receiver ID 77160 unchanged.
Timely Filing Limit (TFL)
365 days from date of service (claims over 180 days subject to Medi-Cal payment reduction)
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse
Edifecs
Provider Services
888-301-1228
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Gold Coast Health Plan, Attn: Claims, P.O. Box 9152, Oxnard, CA 93031-9152
Provider Portal
https://www.goldcoasthealthplan.org/for-providers/provider-portal/
County-organized Medi-Cal (Medicaid) plan for Ventura County (CA); also operates Total Care Advantage HMO D-SNP.
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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