If you are a contracted California Health & Wellness provider, you can register now. If you are a non-contracted provider, you will be able to register after you submit your first claim.
Once you have created an account, you can use the California Health & Wellness provider portal to:
- Verify member eligibility
- Manage claims
- Manage authorizations
- View patient list
You deserve the absolute best healthcare solution. That’s what California Health & Wellness gives you — a new option for high quality health coverage. California Health & Wellness takes care of you in more ways than one.
If your claim is denied, you have the right to dispute the denial. Complete the Provider Dispute Form and send it to California Health & Wellness at:
California Health & Wellness
Attn: Claim Dispute
P.O. Box 4080
Farmington, MO 63640-3835
You must send us your dispute within 365 days. California Health & Wellness will acknowledge receipt of your dispute within two working days of receipt of an electronic provider dispute, or within 15 working days of receipt of a paper provider dispute. California Health & Wellness will send you a written resolution of your dispute within 45 working days. (28 CCR 1300.71 and 28 CCR 1300.71.38).
At California Health & Wellness, we recognize the important role healthcare providers play in ensuring member access to high quality services. We are committed to developing lasting partnerships with hospitals, physicians and other healthcare providers by providing resources and support for you, when and how you need it. We also understand provider challenges with administrative tasks, and we’re dedicated to solutions that provide healthcare without the hassles. We want you and your staff to focus on what you do best — help our members get well, stay well and be well.