Optum California
medical
Summary
Optum California is a medical payer operating in California. Claims route under payer ID APP01, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
APP01Also seen as 3071, 4152- Also known as
- Alliance Physicians Medical Group, AppleCare Medical Management, Downey Select Independent Practice Association, St. Francis Independent Practice Association
- 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 |
|---|---|---|
| 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 Optum California?
- The payer ID for Optum California is APP01. Alternate IDs seen across clearinghouses include 3071, 4152.
- Does Optum California require ERA enrollment?
- Yes. Optum California requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Optum California cover?
- Optum California operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Optum California offer?
- Optum California covers medical.
- Can I submit claims to Optum California electronically?
- Yes. Optum California is reachable through clearinghouses for 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 Spot something out of date?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.