California Medi-Cal
This connection is available for SolAce Basic users ONLY.
Please Note: Our connection to Medi-Cal cannot be scripted due to their system’s website structure and log in process therefore, once your EDI file has been generated, you will need to upload and download your files manually. We have Support Representatives that will walk you through this process.
Please follow the Enrollment Instructions below to become an electronic submitter for California Medicaid, known as Medi-Cal.
In order to be able to submit electronic claims to Medi-Cal, you must first register for their Provider Portal. Once you have access to the Provider Portal, you are then able to register to submit electronic claims.
Medi-Cal has created the following user guide to assist users in registration: Provider Portal User Guide: Provider Organization (ca.gov)
Waiting for a Response
After you have registered for their Provider Portal and as an electronic Submitter so you can file claims electronically, you should receive a 3 digit Submitter ID. If you do not receive your Submitter ID after 2 weeks, please contact the Medi-Cal EDI Technology Support Center at 1-800-541-5555.
Testing
Once you have your Submitter ID, Provider Portal Login ID, and Password from Medi-Cal, please call the SolAce Support Team at 602-439-2525 and set an appointment for a Mailbox setup and Test Transmission to Medi-Cal.
Please have at least 10 claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.