ID: CALOP
Government/Medicare/Medicaid
CA

CalOptima Direct

CalOptima Direct (CalOptima Health Direct) is CalOptima Health’s fee‑for‑service/Medi‑Cal program that provides medical, dental, vision and other health services to Medi‑Cal members in Orange County, CA.

Capabilities

Professional Claims (1500)
Institutional Claims (UB-04)
Electronic Attachments
Workers' Comp
ERA/Remittance
Eligibility Verification
Claim Status Inquiry
Prior Authorization
Dental Claims
Secondary Claims
Real-Time Processing

Alternative Names

Name Payer ID
CalOptima Direct (CalOptima Health Direct / CalOptima Health) CALOP

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