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Central California Alliance provider portal, phone and payer ID

Central California Alliance for Health

Reviewed by QuickIntell RCM Editorial Team · Last reviewed

Updated

TL;DR

Central California Alliance is a medicaid mco payer operating in 1 state. Provider phone is 1-800-700-3874. This registry lists 365 days as an initial-claim reference for Central California Alliance. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims. Electronic claims (837), eligibility (270/271), prior auth (278), and ERA (835) are supported. Use the provider portal for eligibility, claims status, prior authorization, and appeal workflows.

Central California Alliance provider portal, phone and payer ID quick facts

Provider portalhttps://www.thealliance.health/providers
Provider phone1-800-700-3874
Claims payer IDVerify in clearinghouse payer list
Eligibility payer IDNot established in this registry; verify with clearinghouse
ERA payer IDClearinghouse-specific
Timely filing365 days (verify applicability)
Prior auth routeX12 278 plus provider portal
Last reviewed2026-04-23
  • This registry has not established a payer-specific appeal ladder for Central California Alliance. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
  • This registry has not established one national ERA payer ID for Central California Alliance. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment.

Central California Alliance at a glance

Legal nameCentral California Alliance for Health
Also known asCCAH, Alliance
CategoryMedicaid MCO
Parent organizationCentral California Alliance for Health
Claims payer IDNot established in this registry
Eligibility (270/271) payer IDNot established in this registry
ERA (835) payer IDClearinghouse-specific
NAIC company codeNot established in this registry
States coveredCalifornia
Provider portalhttps://www.thealliance.health/providers
Provider phone1-800-700-3874

Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.

Timely filing & appeals for Central California Alliance

This registry lists 365 days as an initial-claim reference for Central California Alliance. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.

Submission typeWindow
Initial claim reference365 days (verify applicability)
Out-of-network initial claimVerify the member's plan and applicable out-of-network rules
Secondary / coordination of benefitsVerify the allowed window and start event; a primary EOB does not automatically restart filing
Corrected claimVerify correction instructions; do not substitute an appeal deadline
Reconsideration / appealUse the applicable denial or decision notice and the process below

This registry has not established a payer-specific appeal ladder for Central California Alliance. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.

Source: Central California Alliance provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.

Prior authorization with Central California Alliance

Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.

CMS-0057-F decision-timeframe requirements and exclusions

Central California Alliance accepts X12 278 prior-authorization transactions electronically. The procedures most commonly subject to prior authorization include advanced imaging, inpatient admissions, specialty pharmacy, and certain outpatient surgical procedures. Use the payer's authorization tool below to confirm requirements per CPT before scheduling a service.

Central California Alliance maintains a live prior-authorization code lookup tool that supersedes any cached list. Use the provider portal or the policy documents below to confirm the current PA list before rendering a service.

Top denial reasons for Central California Alliance

Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Central California Alliance volume. Until then, see the broader CARC reference for industry-wide remediation guides.

Electronic claims, eligibility & ERA

TransactionSupportedPayer ID
837P / 837I claimsYes
270 / 271 eligibilityYes
278 prior authorizationYesVerify X12 278 routing separately
835 ERANoClearinghouse-specific

Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.

State coverage

Central California Alliance operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.

QuickIntell coverage for Central California Alliance

  • QuickRCM

    End-to-end claim lifecycle automation tuned to Central California Alliance's edits and adjudication patterns.

  • QuickAuth

    Automated prior-authorization submissions and status checks for Central California Alliance services that require PA.

  • QuickERA

    Automated 835 ERA posting from Central California Alliance with payment reconciliation and denial routing.

Frequently asked questions about Central California Alliance

Where is the Central California Alliance provider portal?

The Central California Alliance provider portal is available at https://www.thealliance.health/providers. Use it for eligibility checks, claim status, prior authorization workflows, appeals, and payer-specific routing updates. QuickIntell links to the payer's provider-facing portal as a reference and is not the official payer portal.

What is the timely filing limit for Central California Alliance?

This registry lists 365 days as an initial-claim reference for Central California Alliance. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.

Does Central California Alliance publish a single claims payer ID?

This registry has not established one claims payer ID for Central California Alliance. Look up the correct ID for the member's plan and transaction in your clearinghouse directory and verify against the member ID card before submission.

Does Central California Alliance accept electronic claims?

Yes — Central California Alliance accepts ANSI X12 837P and 837I electronic claims through standard clearinghouses. Real-time eligibility (270/271) is supported and X12 278 prior authorization is supported.

How do I appeal a Central California Alliance denial?

This registry has not established a payer-specific appeal ladder for Central California Alliance. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.

How long do Central California Alliance prior authorization approvals take?

Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.

What is the Central California Alliance provider phone number?

This registry lists 1-800-700-3874 as a provider contact for Central California Alliance. Confirm the service scope and the number on the member ID card; claim, eligibility and authorization inquiries may use different teams. Have the member ID, date of service and tax ID ready. The provider portal is https://www.thealliance.health/providers.

Automate workflows around Central California Alliance requirements

Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.

Disclaimer

This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Central California Alliance's current published documents before submission. CPT® is a registered trademark of the American Medical Association.