L.A. Care provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.lacare.org/providers |
|---|---|
| Payer contact reference | 1-866-522-2736Claims-status support: 1-866-522-2736. Community Access Network uses 1-844-361-7272; confirm the contracted product and inquiry purpose. |
| Claims payer ID | L.A. Care’s fee-for-service claims page lists LACAR through Change Healthcare or Office Ally, with Change CPIDs 5988/6484. Confirm the applicable contract, product and clearinghouse; this is not a universal eligibility or ERA identifier. |
| Eligibility payer ID | Stored eligibility references remain unverified for the current product and transaction. A claims identifier does not establish 270/271 routing. |
| ERA payer ID | LACAR — registry reference; verify the member product, transaction and clearinghouse. Not verified: Stored ERA references remain unverified for the applicable product, clearinghouse and enrollment. This claims comparison does not establish a universal 835 identifier. |
| Timely filing | Contracted initial filing: at least 180 days; confirm exact deadline |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- Claims-status support: 1-866-522-2736. Community Access Network uses 1-844-361-7272; confirm the contracted product and inquiry purpose.
- For contracted practitioners, the public page states an initial-filing minimum of 180 days from service. This is a minimum, not one exact deadline for every provider or product. Verify the controlling contract and plan instructions. The separate 365-day discussion concerns provider disputes and must not become an initial-claim deadline.
- This registry has not established a payer-specific appeal ladder for L.A. Care. 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.
- Stored ERA references remain unverified for the applicable product, clearinghouse and enrollment. This claims comparison does not establish a universal 835 identifier.
L.A. Care at a glance
| Legal name | L.A. Care Health Plan |
|---|---|
| Also known as | LA Care, Local Initiative Health Authority for Los Angeles County |
| Category | Medicaid MCO |
| Parent organization | Local Initiative Health Authority for Los Angeles County (public agency) |
| Claims payer ID | L.A. Care’s fee-for-service claims page lists LACAR through Change Healthcare or Office Ally, with Change CPIDs 5988/6484. Confirm the applicable contract, product and clearinghouse; this is not a universal eligibility or ERA identifier. |
| Eligibility (270/271) payer ID | Stored eligibility references remain unverified for the current product and transaction. A claims identifier does not establish 270/271 routing. |
| ERA (835) payer ID | LACAR — registry reference; verify the member product, transaction and clearinghouse. Not verified: Stored ERA references remain unverified for the applicable product, clearinghouse and enrollment. This claims comparison does not establish a universal 835 identifier. |
| NAIC company code | Not established in this registry |
| States covered | California |
| Members covered | ~2.3 million members |
| Provider resource entry point | https://www.lacare.org/providers |
| Provider phone | 1-866-522-2736Claims-status support: 1-866-522-2736. Community Access Network uses 1-844-361-7272; confirm the contracted product and inquiry purpose. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for L.A. Care
For contracted practitioners, the public page states an initial-filing minimum of 180 days from service. This is a minimum, not one exact deadline for every provider or product. Verify the controlling contract and plan instructions. The separate 365-day discussion concerns provider disputes and must not become an initial-claim deadline.
| Submission type | Window |
|---|---|
| Initial claim reference | Contracted initial filing: at least 180 days; confirm exact deadline |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for L.A. Care. 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: L.A. Care provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with L.A. Care
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
Verify L.A. Care electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for L.A. Care. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for L.A. Care
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient L.A. Care volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | L.A. Care’s fee-for-service claims page lists LACAR through Change Healthcare or Office Ally, with Change CPIDs 5988/6484. Confirm the applicable contract, product and clearinghouse; this is not a universal eligibility or ERA identifier. |
| 270 / 271 eligibility | Listed in registry; verify current scope | Stored eligibility references remain unverified for the current product and transaction. A claims identifier does not establish 270/271 routing. |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | LACAR — registry reference; verify the member product, transaction and clearinghouse. Not verified: Stored ERA references remain unverified for the applicable product, clearinghouse and enrollment. This claims comparison does not establish a universal 835 identifier. |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
provider_phone
Source comparison: 2026-09-26
Claims-status instructions support 866-522-2736; Community Access Network uses separate 844-361-7272.
Primary source for provider_phonepayer_ids.claims
Source comparison: 2026-09-26
The page lists LACAR via Change Healthcare or Office Ally, with Change CPIDs 5988/6484; contract-specific arrangements must be checked.
Primary source for payer_ids.claimstimely_filing_days
Source comparison: 2026-09-26
For contracted practitioners the page states an initial-filing minimum of 180 days from service; its 365-day discussion concerns provider disputes. Neither establishes stored 365 as the universal initial deadline.
Primary source for timely_filing_days
Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; payer_ids.eligibility / payer_ids.era / era_payer_id: No transaction-specific universal eligibility/ERA identifier established; do not copy a claims ID.; electronic_claims_supported / supports_279_271 / supports_278: No blanket transaction-capability or QuickIntell connectivity certification; unauthenticated resources do not establish all stored flags.; appeal_levels / prior_auth_required_codes_sample / qi_module_coverage: No new approval of appeals, code-specific authorization or product integrations in this bounded pass..
Sources used for this guide
State coverage
L.A. Care operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for L.A. Care
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for L.A. Care; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for L.A. Care; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for L.A. Care before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about L.A. Care
Where is the L.A. Care provider portal?
Use https://www.lacare.org/providers as a starting point for L.A. Care provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for L.A. Care?
For contracted practitioners, the public page states an initial-filing minimum of 180 days from service. This is a minimum, not one exact deadline for every provider or product. Verify the controlling contract and plan instructions. The separate 365-day discussion concerns provider disputes and must not become an initial-claim deadline.
Does L.A. Care publish a single claims payer ID?
This registry has not established one all-product claims payer ID for L.A. Care. Claims: L.A. Care’s fee-for-service claims page lists LACAR through Change Healthcare or Office Ally, with Change CPIDs 5988/6484. Confirm the applicable contract, product and clearinghouse; this is not a universal eligibility or ERA identifier.. Eligibility (270/271): Stored eligibility references remain unverified for the current product and transaction. A claims identifier does not establish 270/271 routing.. ERA (835): LACAR — registry reference; verify the member product, transaction and clearinghouse. Not verified: Stored ERA references remain unverified for the applicable product, clearinghouse and enrollment. This claims comparison does not establish a universal 835 identifier.. Do not substitute a claims ID for an unverified transaction ID. 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 L.A. Care accept electronic claims?
Verify L.A. Care electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a L.A. Care denial?
This registry has not established a payer-specific appeal ladder for L.A. Care. 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 L.A. Care 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 L.A. Care provider phone number?
This registry lists 1-866-522-2736 as a contact reference for L.A. Care. Claims-status support: 1-866-522-2736. Community Access Network uses 1-844-361-7272; confirm the contracted product and inquiry purpose.
Automate workflows around L.A. Care 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 L.A. Care's current published documents before submission. CPT® is a registered trademark of the American Medical Association.