Medi-Cal (California Medicaid Fee-for-Service)
Also covers / subsidiaries: DHCS, California Medicaid, Medi-Cal FFS
Core Payer & Clearinghouse Profile
Electronic Payer ID
10055
California Medicaid FFS payer IDs are clearinghouse-specific (e.g. CAMCD/CAMCF/CAMCK). No single universal ID — verify with your clearinghouse. (California)
Timely Filing Limit (TFL)
6 months (~180 days) from DOS for the initial claim; late resubmissions with justification up to 12 months
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
National Clearinghouse / EDI Gateway
Provider Services
800-541-5555
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/
California fee-for-service Medicaid administered by DHCS via CA-MMIS. Most members are in managed-care plans (IEHP, L.A. Care, etc.) with their own payer IDs.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Medi-Cal (California Medicaid Fee-for-Service).
Resolution Tools for Medi-Cal (California Medicaid Fee-for-Service) 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 Medi-Cal (California Medicaid Fee-for-Service) Denials & Delayed Payments?
Aethera's billing specialists work Medi-Cal (California Medicaid Fee-for-Service) every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.