Central California Alliance For Health

 

Claims Information

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Claims Support

For claims questions, please call a Claims Customer Service Representative Monday – Friday from 9AM – 4PM at (831) 430-5503 or (800) 700-3874 ext. 5503.


Claims Department Fax
(831) 430-5858 or (831) 430-5868


Claims Department Mailing Address
ATTN: CLAIMS
Central California Alliance for Health
PO Box 660015
Scotts Valley, CA 95067-0015


Contact Claims Department Management:
Misty Torrez, Claims Manager – Provider Support: (831) 430-5720
Sharlene Gianopoulos, Claims Manager – Operations: (831) 430-5700
Frank Souza, Claims Director: (831) 430-5611


On-Site Training

Call the Claims department to request an in-service training/orientation at your office. Potential meeting topics may include:

      •  Review of billing history
      •  Address specific claims issues
      •  Tips to bill efficiently and accurately

Call (831) 430-5503 or (800) 700-3874 ext. 5503 for more information or to schedule.


Click here to submit comments or suggestions to the Claims department.



Interested in Electronic Data Interchange (EDI) Transactions?
The Alliance will be performing system maintenance on December 19th, 2018 from 7:00 PM to 9:00 PM.

During this time, RTEDI (real-time EDI) services will be unavailable.

The Alliance apologizes for any inconvenience.


Alliance Payer IDs are:


      •  Office Ally: CCA01 (Professional and Institutional)

      •  Change Healthcare: SX169 (Professional)

      •  ClaimRemedi: 95311 (Professional and Institutional)

      •  MedAssets: MEDASSETS (Professional and Institutional)

Click on the links below to begin the process of submitting claims electronically.


      •  About EDI Transactions

      •  EDI Request Form

      •  EDI Claims Enrollment Form

      •  EDI Claims Enrollment Form Instructions

      •  EDI Companion Guide - Transaction Instruction

      •  EDI Companion Guide - 837/835 Trading Partner Information

      •  EDI Companion Guide - 276/277 Information

      •  EDI Companion Guide - 270/271 Information

      •  Top Most Common Payer Rejections (Errors) in 5010 Compliance Maps

Self-Serve Password Reset for RTEDI users – for 270/271 & 276/277 EDI Transactions Only:

      •  https://rtedi.ccah-alliance.org/pwchange/password/change



Remittance Advice Information

Remittance Advice Guide


      •  RA Guide


Remittance Advice Explain Codes


      •  RA Explain Codes



Forms and Information

Please note that you must be signed up to receive your Remittance Advice (RA) electronically in order to be enrolled with direct deposit. There are two available options to do so: via EDI 835 transaction - Electronic Remittance Advice, or via the Alliance Provider Portal, by downloading your RAs in PDF format.

Once you have enrolled with EFTs, you will not receive paper RAs via mail.

    EFT/ACH Authorization Form


    EFT/ACH Authorization Form - Electronic Payments Instructions

As our public IP addresses recently changed, please ensure you are using our host name to connect to our SFTP server (do not use our IP address).

The host name to connect to our server is: sftp.ccah-alliance.org

If any of your processes currently point to our server using IP, please redirect them to sftp.ccah-alliance.org, and re-run the upload/download process.


Questions? Contact the Alliance Claims department Monday – Friday from 9AM – 4PM at (800) 700-3874 ext. 5503.


Prop 56 Supplemental Payments

Click here for information about supplemental payments related to Proposition 56.



 

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