MedicaidAdministrativeMedium impact
24-480 Learn How Electronic Data Interchange Helps Your Practice Work More Efficiently
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
CalViva Health (Health Net) is promoting Electronic Data Interchange (EDI) services to help practices submit claims electronically, receive electronic remittance advice (ERA), and set up electronic funds transfer (EFT). The policy provides contact information for approved clearinghouses Availity and Ability, with specific payer IDs for electronic claim submission.
Action Required
Consider registering with approved clearinghouses Availity (payer ID 68069, 800-282-4548) or Ability/MD Online (payer ID 95567, 888-499-5465) for electronic claim submission. Separately register for ERA and/or EFT services online to automate remittance advice and payment processing. Contact CalViva Health EDI support at 800-225-2573 ext. 6075525 for implementation questions.