CenCal Health
medical
Summary
CenCal Health is a medical payer operating in California. Claims route under payer ID 95386, with 4 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
95386Also seen as 101173, 11106, 3568, Z1243- Also known as
- Central California Health, Santa Barbara Regional Health Authority
- Service area
- CA
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for CenCal Health?
- The payer ID for CenCal Health is 95386. Alternate IDs seen across clearinghouses include 101173, 11106, 3568, Z1243.
- Does CenCal Health require ERA enrollment?
- Yes. CenCal Health requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does CenCal Health cover?
- CenCal Health operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does CenCal Health offer?
- CenCal Health covers medical.
- Can I submit claims to CenCal Health electronically?
- Yes. CenCal Health is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.