One Call provider portal, phone and payer ID quick facts
| Provider portal | https://www.onecallcm.com |
|---|---|
| Provider phone | 1-800-872-2875 |
| Claims payer ID | Verify in clearinghouse payer list |
| Eligibility payer ID | Verify in clearinghouse payer list |
| ERA payer ID | Clearinghouse-specific |
| Timely filing | 90 days |
| Prior auth route | Provider portal or policy document |
| Last reviewed | 2026-04-23 |
- One Call does not expose one verified national ERA payer ID in this registry. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment.
One Call at a glance
| Legal name | One Call Care Management |
|---|---|
| Also known as | One Call Care Management, OCCM |
| Category | Third-party administrator (TPA) |
| Parent organization | One Call |
| Claims payer ID | Not published |
| Eligibility (270/271) payer ID | Not published |
| ERA (835) payer ID | Clearinghouse-specific |
| NAIC company code | Not published |
| States covered | Nationwide (50 states) |
| Provider portal | https://www.onecallcm.com |
| Provider phone | 1-800-872-2875 |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for One Call
One Call's standard timely filing window for participating providers is 90 days from the date of service. Plan-specific products (Medicare Advantage, Medicaid, employer groups, secondary claims) may have shorter or longer windows — always confirm against the policy linked below before disputing a TFL denial.
| Submission type | Window |
|---|---|
| In-network initial claim | 90 days |
| Out-of-network initial claim | 90 days (verify per plan) |
| Secondary / coordination of benefits | 90 days from primary EOB |
| Corrected / appeal | 90 days from denial |
Appeal levels
- Level 1: First-Level ReconsiderationFile within 90 days
Written request for claim reconsideration with supporting documentation, filed within the stated window of the denial notification.
- Level 2: Second-Level Formal AppealFile within 60 days
Formal appeal reviewed by a party not involved in the initial determination; typically requires the first-level decision letter.
- Level 3: External / Independent ReviewFile within 120 days
External Independent Review Organization (IRO) review per ACA §2719 and applicable state law.
Source: One Call provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with One Call
One Call does not currently accept X12 278 prior-authorization transactions; submit via portal or fax. 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.
One Call 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 One Call
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient One Call volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Supported | Payer ID |
|---|---|---|
| 837P / 837I claims | Yes | — |
| 270 / 271 eligibility | No | — |
| 278 prior authorization | No | — |
| 835 ERA | No | Clearinghouse-specific |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
QuickIntell coverage for One Call
- QuickRCM
End-to-end claim lifecycle automation tuned to One Call's edits and adjudication patterns.
- QuickAuth
Automated prior-authorization submissions and status checks for One Call services that require PA.
- QuickERA
Automated 835 ERA posting from One Call with payment reconciliation and denial routing.
One Call case study
Orthopedic Practice Reduces No-Shows and Improves Surgical Case Capture
A 6-surgeon orthopedic practice reduced no-show rates from 17% to 9% and increased revenue by $420K annually through better scheduling and documentation.
Read the full case study →Frequently asked questions about One Call
Where is the One Call provider portal?
The One Call provider portal is available at https://www.onecallcm.com. 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 One Call?
One Call's standard timely filing limit for participating providers is 90 days from the date of service. Plan-specific products (Medicare Advantage, Medicaid managed care, employer groups) may have different windows — confirm against the payer's provider manual before disputing a TFL denial.
Does One Call publish a single claims payer ID?
One Call does not publish a single canonical claims payer ID — routing is plan- or jurisdiction-specific. Look up the correct ID per member in your clearinghouse directory (Availity, Change Healthcare/Optum, Waystar) and verify against the member ID card before submission.
Does One Call accept electronic claims?
Yes — One Call accepts ANSI X12 837P and 837I electronic claims through standard clearinghouses. Real-time eligibility (270/271) is not currently supported and X12 278 prior authorization is not currently supported.
How do I appeal a One Call denial?
One Call uses a 3-level appeal process. Level 1 (First-Level Reconsideration) must be filed within 90 days of the denial. Each escalation level requires the prior decision letter and supporting clinical or coding documentation. See the appeal-levels block above for deadlines and process.
How long do One Call prior authorization approvals take?
One Call's prior-authorization decision turnaround typically follows standard industry windows: 72 hours for urgent requests and up to 14 calendar days for non-urgent requests. Specialty drugs and high-cost imaging may extend further. Submit through the One Call provider portal for the fastest turnaround.
What is the One Call provider phone number?
Providers can reach One Call at 1-800-872-2875 for claims status, eligibility verification, and authorization questions. Have the member ID, date of service, and tax ID ready before calling. Most operational tasks are faster through the provider portal at https://www.onecallcm.com.
Run cleaner claims to One Call with QuickIntell
QuickAuth, QuickRCM, and QuickERA are validated against One Call's EDI behavior — eligibility, prior auth, claim scrubbing, and ERA posting all run on real payer rules.
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 One Call's current published documents before submission. CPT® is a registered trademark of the American Medical Association.