Caloptima Provider Portal

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Updated: May 22, 2022

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Caloptima.org
(714) 246-8400 505 City Pkwy W, Orange, CA 92868

Social Handles

FAQs

1

Is CalOptima the same as Medi-Cal?

Medi-Cal — also known as Medicaid — is a public health insurance program for low-income people offered by the state. ... CalOptima provides health care coverage for Orange County residents who are eligible for full Medi-Cal.
2

How do I check my CalOptima coverage?

Use these resources to verify member eligibility and benefits:
  1. CalOptima Interactive Voice Response (IVR) Call it at 800-463-0935.
  2. Automated Eligibility Verification System (AEVS) Call it at 800-456-2387 (Medi-Cal only).
  3. Point of service (POS) help desk. Call 800-541-5555 only for Medi-Cal.
3

How do I submit a claim to CalOptima?

Call our Customer Service department. Fill out the member grievance or appeal form online and click the “submit” button. Visit our office at 505 City Parkway West, Orange, CA 92868. Fill out the member complaint form or write a letter to CalOptima and mail it to us at the address above.
4

How do I contact CalOptima?

Directions to CalOptima. If you have questions about how to get to our office, call our Customer Service department at 1-714-246-8500, or toll-free at 1-888-587-8088. We have staff who speak your language.
5

Is Medi-Cal the same as CalOptima?

The CalOptima ID card is issued by CalOptima Medi-Cal. The CID card helps to identify you as a CalOptima member. It is important to have all health insurance cards with you and present them to your provider when you access health care services.
6

How do you check if I have CalOptima?

How to Verify Eligibility
  1. CalOptima Interactive Voice Response (IVR) Call it at 800-463-0935.
  2. Automated Eligibility Verification System (AEVS) Call it at 800-456-2387 (Medi-Cal only).
  3. Point of service (POS) help desk. Call 800-541-5555 only for Medi-Cal.
7

Can I get my CalOptima card online?

The member portal is a secure online website where you have 24-hour access to CalOptima from anywhere with an internet connection. By having a secure username and password, you can view your personal information and do things like: Request a member ID card.
8

Is CalOptima an HMO or PPO?

Welcome to OneCare (HMO SNP)
All your Medicare and Medi-Cal benefits are covered in one single plan making it easier to get the health care you need. With OneCare from CalOptima, you can choose from more than 1,500 doctors and specialists in Orange County who are ready to serve you.
2. Medecision.com

Provider Registration - My Aerial™

https://aerial.carecoordination.medecision.com/caloptima/physician/Pro...

“CCN” or CalOptima Care Network is the direct contracting network for CalOptima. ... CalOptima's web portal provides access to information on member eligibility, ...

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