Medicaid California Medi-Cal
dentalmedical
Summary
Medicaid California Medi-Cal is a dental and medical payer operating in California. Claims route under payer ID 100065, with 10 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
100065Also seen as 10055, 1473, 3447, 610442, CACAID, CAMCD and 4 more- Also known as
- California Medicaid (Medi-Cal)
- 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 |
| Professional claims (837P) | Required | A few days |
| Institutional claims (837I) | Required | A few days |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Medicaid California Medi-Cal?
- The payer ID for Medicaid California Medi-Cal is 100065. Alternate IDs seen across clearinghouses include 10055, 1473, 3447, 610442.
- Does Medicaid California Medi-Cal require ERA enrollment?
- Yes. Medicaid California Medi-Cal requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Medicaid California Medi-Cal cover?
- Medicaid California Medi-Cal operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Medicaid California Medi-Cal offer?
- Medicaid California Medi-Cal covers dental and medical.
- Can I submit claims to Medicaid California Medi-Cal electronically?
- Yes. Medicaid California Medi-Cal is reachable through clearinghouses for eligibility checks, 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 Spot something out of date?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.