Claims and Invoice Submission
Claims vs Invoice Submission
Community Supports (CS) providers are required to submit a claim or an invoice for CS services to the Plan using the codes set by Department of Health Care Services (DHCS) as evidence to all CS services provided to members. CS providers must follow the guidance of their contract and authorization letter. Claims or invoices should be submitted within 180 days of the date of service to meet timely filing requirements.
Claims
There are two ways to submit claims to the Plan:
- Electronically (preferred method) – Electronic claims submission will require the use of a clearinghouse. the Plan accepts claims directly from Availity and Ability clearinghouses.
- Manually (paper claims).
For more information on electronic submission or claims procedure and submission, refer to:
Invoices
All paper the Plan Invoice forms and supporting information must be submitted to the Plan - Cal AIM Invoice.
For detailed information and official forms for manual submission and/or to enroll in electronic claims submission, visit the CalAIM Resources for Providers page.