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Remittance Enrollment Guide for MEDICAID CALIFORNIA MEDI-CAL

MEDICAID CALIFORNIA MEDI-CAL (22641)

What is a Remittance?

A remittance, or Electronic Remittance Advice (ERA), is a digital explanation of payments and adjustments sent from a health plan to a provider after a claim is processed. It details what was paid, denied, or adjusted, and why. Remittances are essential for reconciling payments and understanding claim outcomes.

Why Choose Electronic Remittance?

  • Faster Payments: Receive payment details instantly, without waiting for paper mail.
  • Fewer Errors: Reduce manual data entry and avoid lost or misfiled paper EOBs.
  • Easier Reconciliation: Quickly match payments to claims in your billing system.
  • Better Security: Electronic delivery is more secure and private than paper mail.
  • Eco-Friendly: Cut down on paper waste and storage needs.

Tip: Most providers find that switching to electronic remittance improves office workflow and speeds up revenue cycle management.

Remittance Delivery: Delivery pathway is going to vary and will require clearinghouse level enrollment, please contact us for help if you have trouble getting it working!
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Enrollment Instructions:
In order to submit claims electronically, providers must complete the Medi-Cal Telecommunications Provider and Biller Application/Agreement (DHCS 6153)http://files.medi-cal.ca.gov/pubsdoco/forms.asp

Follow these instructions when filling out the form:

Biller Name/DBA: Availity LLC

Address: 10752 Deerwood Park Blvd, Suite 110Jacksonville, FL 32256Submitter ID: U3T

CMC Batch Submission Type: Internet

ANSI X12 837 Version: 05-MEDICAL and Medicare Crossover Part B)

Signatures are required by the provider and Availity.Sign in 'blue' ink only

Providers are to mailed completed enrollment forms to:Availity LLC Attn: AAC Enrollment Dept., 510 E. 96th Street, Suite 400, Indianapolis, IN 46240

California Medicaid will notify Availity when registration is complete.Availity will contact the provider when registration is complete.

Additional Instructions:
610442_MEDICAID CALIFORNIA MEDI-CAL_837.052023.pdf
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