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MedicaidAdministrativeMedium impact

24-479 Submit Claims Online With Availity, and Access ERAs and EFTs Through Electronic Data Interchange

Health Net·CA·Reimbursement
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Community Health Plan of Imperial Valley now requires providers to submit claims electronically through Availity clearinghouse services and offers electronic remittance advice (ERA) and electronic funds transfer (EFT) registration. This policy promotes going paperless with EDI technology to reduce claims processing time and improve account reconciliation.

Action Required

Action needed
Immediately: Billing team must register with Availity at their website by selecting 'Get Started' and 'Create Account'. Contact Availity client services at 800-282-4548 for setup help. Complete separate registrations for ERA and EFT if desired. Update claims submission workflow to use Availity portal for electronic claim submission, status checking, and corrected claims. For EDI questions, contact 800-225-2573, ext. 6075525.

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