Health Net Medi-Cal (California)
Also covers / subsidiaries: Health Net Community Solutions, Centene
Core Payer & Clearinghouse Profile
Electronic Payer ID
CAMK0
Health Net (Centene) routes Medi-Cal claims via Availity/Ability; a single confirmed EDI payer ID was not verified. (California)
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
Availity (also accepts Ability)
Provider Services
800-675-6110
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Health Net Medi-Cal, ATTN: Provider Paper Claims, P.O. Box 9020, Farmington, MO 63640-9020 (verify — multiple Centene boxes by product)
Provider Portal
https://www.healthnet.com/content/healthnet/en_us/providers.html
California Medi-Cal managed-care plan (Centene); also administers CalViva Health in Fresno/Kings/Madera.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Health Net Medi-Cal (California).
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Health Net Medi-Cal (California).
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Edic | J1289 | Non-Par | None | Workers Comp |
| Edic | WB021 | Non-Par | None | Workers Comp |
| Medi Cal | CAMK0 | Non-Par | Required | 837P837I835 ERA |
| Medica | 10125 | Non-Par | None | 837P837I270/271276/277Dental |
| Medica | 94265 | Non-Par | Required | 837P837I835 ERA |
Resolution Tools for Health Net Medi-Cal (California) 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.
Tired of Chasing Health Net Medi-Cal (California) Denials & Delayed Payments?
Aethera's billing specialists work Health Net Medi-Cal (California) every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.