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
  • Our formulary is now available via the Epocrates smartphone app, which helps providers prescribe the preferred medications by proactively showing them formulary alternatives and coverage limitations
  • A robust Quality Incentive Program that provides bonus opportunities for HEDIS performance improvement