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In 2020, CenCal Health’s IT and Member Services departments created a new, custom call tracking system that assigns a unique tracking ID to every caller’s call. This allows the tracking and trending of “like” calls, offering quality improvement oppo

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Updated: 6 hours ago

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877-814-1861

If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer specialist.

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Updated: 6 hours ago

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View Allen Freymuth's business profile as Director, Claims at CenCal Health. Find contact's direct phone number, email address, work history, and more.

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Updated: 1 hours ago

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To ensure the physician you have selected is in network, please contact CenCal Health. Participating physicians indicate their practice name, group providers, provider type or specialty, patient access level, specified patient age range, hours of operations, languages spoken and access indicators.

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CenCal Health subcontracts managed care for mental health to the Holman Group. Care (providers): For a list of health care and dental providers, contact CenCal Health, visit the CenCal Health provider directory, or click here for more

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Updated: 8 hours ago

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Electronic: To find out more about submitting claims electronically to CenCal Health, please contact the EDI team at CenCal Health.. If you are currently submitting electronically to CenCal Health you can reference the CenCal 5010 Companion Guide, and the Trading Partner Worksheet.. Please email CenCal Health’s EDI Workgroup for further information.. File …

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CenCal Health’s Provider Manual. The Provider Manual includes information such as Provider enrollment, Responsibilities, Claims information, Member eligibility, Guidelines for medical authorizations. We are here for you. The Provider Bulletin newsletter. Our Provider Bulletin newsletter is a valuable notice that is produced as an informative service for providers and office staff and is

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Original (or initial) Medi-Cal claims must be received by CenCal Health within six months following the month in which services were rendered or the following payment reductions may apply: Claims received during the 7th, 8th or 9th month after the month of service will have final payment reduced by 25%. Claims received during the 10th, 11th or 12th month after the …

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Updated: 2 hours ago

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800-524-5222

Caring nurses are available to CenCal Health members 24/7 to answer any health question. Nurses can help when you: Are unsure of using the Emergency Room Have questions about your medication Want to learn more about chronic conditions Make informed decisions about your health. Call 1-800-524-5222 Fluoride Varnish

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Provider Services -- Cencal Health is located in Santa Barbara, CA, United States and is part of the Other Ambulatory Health Care Services Industry. Provider Services -- Cencal Health has 13 total employees across all of its locations and generates

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Updated: 6 hours ago

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(800) 421-2560

San Luis Obispo and Santa Barbara Counties. CenCal Health. 4050 Calle Real. Santa Barbara, CA 93110. View map. (800) 421-2560.

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Updated: 4 hours ago

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(805) 562-1676

Contact Provider Services: (805) 562-1676. Who is eligible with CenCal Health? Seniors and persons with disabilities; Parents, children, adults; Babies, pregnant women; Want to learn more about CenCal Health’s programs? Learn more. Interested in CenCal Health’s member demographics? Learn more.

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Updated: 8 hours ago

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877-814-1861

Welcome to the all-new CenCal Health Provider Directory Do you have questions about this document or the Provider Directory? Please contact our Member Services Department at 877-814-1861 Provider Languages, Address, Phone, Days/Hours of Operation, Staff Languages 6. Use Advanced Search to search by:

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CenCal Health has a provider inclusive policy and we work with interested and eligible providers in the area. We are contracted with 94% of the providers who reside in Santa Barbara County and over 75% of the providers who reside in San Luis Obispo County. This represents over 4000 physicians. Contact these programs below for more

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This allows a pharmacy in CenCal Health’s network to use an override code and provide an emergency fill/refill of a medication without having to contact the health plan or PBM. Refills can be up to 90 days for routine (non-narcotic) maintenance medications.

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Updated: 5 hours ago

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877-814-1861

Community Resources. CenCal Health members should contact their Primary Care Provider (PCP) or CenCal Health’s Member Services Department at 1-877-814-1861, Monday thru Friday, from 8:00 am to 5:00 pm for questions about medical care, member benefits, or other health-related questions.

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Updated: 3 hours ago

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The PCC will consist of six (6) physician and one (1) chiropractic provider voting members who are contracted providers with CenCal Health and the following non-voting members: the Director of Provider Services, the Chief Medical Officer or physician designee, the Director of Legal Affairs, the Provider Services Manager, and the Credentialing

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(805) 562-1676

Contained below are links to most forms used by CenCal Health. Some forms may require providers to log in to the restricted section of the website to access. If you’re unable to find what you were looking for, please contact Provider Services at (805) 562-1676 or via email. Authorizations Contracting/Credentilaing Claims Health Education Member

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Updated: 8 hours ago

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For pharmacy services the billing limit is 6 months from the month of service. This means a provider cannot bill CenCal Health after this time period. If you do not contact CenCal Health for assistance with a bill within the year, you will be responsible for payment. Emergency Services Received in …

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CenCal Health provides health insurance for approximately 20 percent of residents in Santa Barbara and San Luis Obispo counties, or nearly 180,000 members. For more information or questions about Whole-Child Model and California Childr

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Updated: 7 hours ago

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CenCal Health also collaborates with community-based organizations to address social determinants of health while increasing members’ access to medical care and reducing costs. The oldest Medicaid managed care plan of its kind, CenCal Health is a lo

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Updated: 7 hours ago

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(805) 685-9525

Established in 1983, it is the oldest managed care Medicaid plan of its kind in the nation. View its annual Community Report at cencal2020.org. CenCal Health Contact: Nicolette Worley Marselian. (805) 685-9525 ext.1993. [email protecte

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833-556-2560

For member questions, CenCal Health representatives are available Monday – Friday, from 8 a.m. to 5 p.m., at 1-877-814-1861. Hearing-impaired members may contact the CA Relay at 711 or the CenCal Health TTY at 1-833-556-2560. The call is

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Updated: 5 hours ago

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About CenCal Health. CenCal Health is the largest local insurer in the region, providing health coverage for approximately 20 percent of residents in Santa Barbara and San Luis Obispo counties. CenCal Health coverage is accepted by the vast majority of local health providers. CenCal Health also provides education and assistance to its members

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Updated: 7 hours ago

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(800) 421-2560

Operating in the community for 33 years this month, CenCal Health partners with many local providers, hospitals, community and nonprofit agencies to better serve their membership and coordinate care. If you would like to learn more about these services, visit CenCal Health’s website at www.cencalhealth.org or call (800) 421-2560.

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Updated: 7 hours ago

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About CenCal Health CenCal Health provides health insurance for approximately 20 percent of residents in Santa Barbara and San Luis Obispo counties, or nearly 180,000 members. CenCal Health coverage is accepted by the vast majority of local healthcare providers.

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Updated: 1 hours ago

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CenCal Health is a public entity that is governed by a 13 member Board of Directors appointed by the Santa Barbara and San Luis Obispo county boards of supervisors. Our Board of Directors is composed of local government representatives, physicians,

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Apply for a CenCal Health Data Specialist - Provider Services job in Santa Barbara, CA. Apply online instantly. View this and more full-time & part-time jobs in Santa …

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Updated: 8 hours ago

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(805) 681-9900

Contact VTS at (805) 681-9900 to schedule a transportation Billing and Payment Elig CenCal Health will receive and process claims for all CenCal Health CCS ible members (Santa Barbara Health Initiative (SBHI) & San Luis Obispo Health Initiative (SLOHI) Contact CenCal Health’s Claims Department at (805) 562-1083 P- HS- CCSQRG 0720 E

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Updated: 7 hours ago

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(877) 814-1861

CenCal Health provides medical, mental and behavioral health services. If you have a question about these services, please call our Member Service Department at (877) 814-1861 or CA Relay 711 for the hearing impaired.

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Updated: 3 hours ago

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(805) 562-1676

EXPLORE CENCAL HEALTH. for our membership. We want to make healthcare easy for you. Please contact us if you need assistance. Below is a list of our departments for you to access if you have a question or a medical need that we can assist with. Provider Services. Provider Services. tel: (805) 562-1676 (Santa Barbara County) tel: (805

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Vaccine administration. For further information on the above program, or if you would like to inquire about becoming contracted with CenCal Health to provide the above service, please contact the CenCal Health Pharmacy Department

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Updated: 4 hours ago

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(805) 562-1820

CenCal Health’s headquarters are in 4050 Calle Real, Santa Barbara, California, 93110, United States. What is CenCal Health’s phone number? CenCal Health’s phone number is (805) 562-1820. What is CenCal Health’s official website?

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CenCal Health, a health plan for low-income residents in Santa Barbara and San Luis Obispo, is offering $50 gift cards as an incentive to get vaccinated. The health plan’s current vaccination rate for its 210,000 members is 20 to 24 percentage point

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Updated: 4 hours ago

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The oldest Medicaid managed care plan of its kind, CenCal Health is a local public agency that employs close to 250 people at offices in both Santa Barbara and San Luis Obispo. For more information, visit cencalhealth.org. CenCal Health Contact: Nic

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Updated: 1 hours ago

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CenCal Health is a great place to work, and there is information about joining our team within this section. We have been in operation since 1983, and are recognized nationally as the oldest Medicaid managed care program of its kind in the country.

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Updated: 7 hours ago

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CenCal Health will administer and operate the Medi-Cal health care program during 2020-2021. Audited Financial Statements The financial statements of CenCal Health report financial information about CenCal Health using accounting methods in accordan

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CenCal Health, Santa Barbara, California. 888 likes · 2 talking about this. CenCal Health's mission is to improve the health and well-being of the communities we serve by providing access to high

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Updated: 1 hours ago

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3 reviews of CenCal Insurance "he truth needs to be very careful with this insurance before having coverage. 1: - do not get the prices they are 2: - do not get the coverage in writing 3: - do not meet what they tell you 4: - carry you about money and not to be returned 5: they are rude to their customers on the phone 6: - they added other services you do not need and often do not …

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Updated: 5 hours ago

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(800) 421-2560

If you experience problems, or have additional questions, please feel free to contact our Claims Service Representatives at (805) 685-9525 or (800) 421-2560, extension 1083. Submitting a Claim Submitting a “clean claim” is important in order for your claim to be considered by CenCal Health for payment.

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Updated: 7 hours ago

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Duties and Responsibilities: • Intake and respond to all provider telephone inquiries within a 24 hour period of time (between the hours of 7:30 a.m. and 4:30 p.m.) for all CenCal Health programs and communicate escalated provider complaints to the Claims Customer Service Supervisor; • Research and respond to all Provider Email

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Updated: 1 hours ago

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(877) 814-1861

For more information please visit this link or contact CenCal Health Member Services Department at (877) 814-1861 Monday through Friday, 8am to 5pm (for the hard of hearing TTY 1-833-556-2560 or the CA Relay at 711). The call is toll-f

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Company Description: Cencal Foods, LLC is located in Fresno, CA, United States and is part of the Animal Slaughtering and Processing Industry. Cencal Foods, LLC has 14 total employees across all of its locations and generates $2.02 million in sales (USD). (Employees and Sales figures are modelled).

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Updated: 2 hours ago

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View Blanca Zuniga's business profile as Manager, Cm Adult Programs at CenCal Health. Find contact's direct phone number, email address, work history, and more.

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CenCal Health is a public entity that is governed by a 13 member Board of Directors appointed by the Santa Barbara and San Luis Obispo county boards of supervisors. Our Board of Directors is composed of local government representatives, physicians,

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Updated: 2 hours ago

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(805) 562-1083

This can be verified by either referring to the State Medi-Cal Manual TAR and Non-Benefit List, contacting your Claims Service Representative at (805) 562-1083, or click the following link to look up CenCal Health’s HCPCS/CPT Procedure Code – Prior Authorization Requirement Search Tool. My claim is denied due to NCCI edits. What is my recourse?

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Updated: 4 hours ago

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This fall, Freeman is retiring from CenCal Health after a successful 28-year tenure with the organization – the last decade as its CEO. CenCal Health’s annual Community Report can be viewed at cencal2020.org. CenCal Health Contact: Nic

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Updated: 6 hours ago

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All participating pharmacies that provide pharmacy services for our eligible members of CenCal Health are contracted with MedImpact. In-Network Pharmacy Providers Contracted pharmacy providers located in CenCal Health service area are referred to as

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Updated: 8 hours ago

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Lou Amendola purchases Cencal Beverage (Coors distributor), and the name of the company is changed to Fresno Beverage. 1986 Valley Distributing in Merced is acquired and becomes part of Fresno Beverage.

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If a provider receives a denial, deferral or modification of a TAR, the provider may contact the physician reviewer or file an appeal by calling or writing to the address and/or phone number below. CenCal Health Medical Management Department 4050 Calle Real …

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Updated: 2 hours ago

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  • Frequently Asked Questions

  • How do I submit a claim with Cencal health?

    CenCal Health makes it easy for you to submit a claim. We have three ways to do so. Faster, easier, and direct. Please choose from one of the three tabs below. CenCal Health strongly recommends submitting claims electronically. This allows faster payment with clean claims.

  • What transportation does Cencal health cover?

    CenCal Health covers transportation to and from medically necessary services, such as doctor appointments, specialty mental health, substance use disorder, dental, pharmacy pick up, medical supply pick up and more. CenCal Health partners with Ventura Transit System (VTS) to schedule and manage transportation services for our member.

  • Why choose Cencal health?

    CenCal Health cares about the members we serve and believes in processing authorizations in a timely manner. It is important for providers to understand the difference between referrals, treatment authorization requests and other types of authorizations that may be required and how to obtain each one.

  • What is the cencal health provider portal?

    The CenCal Health Provider Portal offers quick and easy online access to the tools and information you need to streamline your administrative processes. These comprehensive User Guides are resource that provide step-by-step instructions on how to use all of the Provider Portal functions.

  • What is Cencal health?

    CenCal Health is focused on making it easier for local providers to serve our members and deliver the highest quality of care. We are publicly governed, non-profit and directly accountable to the communities we serve.

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