Provider Resources

California Health & Wellness providers are an essential means of providing care to our members and as a result we want our providers to have a good understanding of the resources available to them. As a California Health & Wellness Plan provider you can rely on us for:

• Initial and ongoing education through orientations, office visits, training and updates.
• A dedicated claims team to ensure prompt payment
• Timely, informative reports to assist with patient outreach
• Minimal referral requirements and limited prior authorizations
• A dedicated provider network relations team with resources available in-person or by phone
• The ability to check member eligibility, authorization and claims status online
• A robust Quality Incentive Program that provides bonus opportunities for HEDIS performance improvement

• Provider Report Newsletter
• Manuals, Forms and Resources
• Eligibility Verification
• Prior Authorization
• Electronic Transactions
• Preferred Drug Lists
• Provider Training
• Access & Availability Standards (PDF)
• Timely Access to Care Training (PDF)