Electronic Transactions

California Health & Wellness is committed to providing our participating providers with the best tools possible to support their administrative needs.  Our electronic transactions capabilities will speed up the processing and payment of your claims.

PaySpan
California Health & Wellness and PaySpan are in partnership to provide an innovative web based solution for Electronic Funds Transfers (EFT’s) and Electronic Remittance Advices (ERA’s).

Secure Web Portal
Partial list of secure website functions include verify member eligibility, check/submit claims and submit/confirm authorizations.

EDI
Electronic Transactions (EDI) support for HIPAA transactions is provided for the health plan by Centene Corporation. Centene is currently receiving professional, institutional, and encounter transactions electronically, as well as generating an electronic remittance advice/explanation of payment (ERA/EOP). To conduct other HIPAA transactions not listed, please contact our EDI department at 1-800-225-2573, ext. 25525.

The following list contains contact information for the trading partners currently active with our health plan. All providers are encouraged to contact one of these trading partners to utilize our electronic transaction options.

Clearinghouse/Direct Submitter Payer ID
Availity 68069
Allscripts/Payerpath 68069
Capario 68069
Claim Remedi 68069
Claimsource 68069
CPSI 68069
Emdeon 68047
First Health Care 68069
GatewayEDI 68069
GHNonline 68069
IGI 68069
MD On-Line 68069
Physicians CC 68069
Practice Insight 68069
Relay/McKesson 68069
Smart Data 68069
SSI 68069
Viatrack 68069
68069

Other Payment Resources:

If you have any questions, please contact:

California Health & Wellness
c/o Centene EDI Department
1-800-225-2573, ext. 6075525 or 1-314-505-6525

Or by email at EDIBA@centene.com.