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cmc dirCMC Developers, Vendors and Billing Services Directory1The CMC Developers, Vendors and Billing Services Directory is a resource for providers and billersinterested in automating Medi-Cal claims submissions. Those who wish to be included in the next edition,or those who would like to update their current information in this directory, should call the TelephoneService Center (TSC) at 1-800-541-5555, selecting from the menu Technical Help Desk, then CMC. TheTSC is open 8 a.m. to 5 p.m., Monday through Friday, excluding holidays.The Department of Health Care Services (DHCS) Fiscal Intermediary makes no warranty for the productsor services offered or for the accuracy of the information in this directory. The information is subject tochange without notice.The following information describes the columns found in the directory:Contact InformationThe first four columns include the company name, contactperson, phone number and website or e-mail address.Types of VendorsThe types of vendors listed in this column are:Billing oftwareVendorCMC Developers, Vendors and Billing Services DirectoryBilling Agents offer Medi-Cal claim filingservices to Medi-Cal providers andprovide a wide variety of other products,services and fee structures.Clearinghouses supply software thatallows providers to electronically transmitclaims (to the clearinghouses) andtransmit claims to Medi-Cal (forproviders that typically submit a largevolume of claims).Electronic Attachment Vendors areauthorized third-party vendors thatsubmit electronic attachments to MediCal on the provider’s behalf.Other transaction types or thetransaction type was not indicated.Software Vendors sell software productsthat allow providers to enter and submitComputer Media Claims (CMC)electronically.July 2020

cmc dir2Types of TransactionsThis column indicates the HIPAA-compliant transactions thecompany submits, or has the ability to submit to achmentsPARTIPSCPICMC Developers, Vendors and Billing Services DirectoryNational Council for Prescription DrugPrograms (NCPDP) V1.2 Batch Pharmacyclaims where several, or a “batch,” of claimscan be submitted at one time.ASC X12N 270/271 v.5010 Eligibility Inquiryand Response (270/271) electronictransactions.ASC X12N 276/277 v.5010 Claim StatusRequest and Response (276/277) electronictransactions.ASC X12N 835 v. 5010 (835) electronictransaction. The 835 transactions are availableby the Medi-Cal warrant date.ASC X12N 837 v. 5010 Institutional (837I)electronic transactions.ASC X12N 837 v. 5010 Professional (837P)electronic transactions.Electronic attachments for 837I and/or 837Ptransactions.NCPDP VD.0 PA transactions. Providers maysubmit an electronic Treatment AuthorizationRequest (eTAR) by using a third-party vendor,or a vendor’s software, without using onlineTransactions Services for Medi-Cal.Providers may submit a pharmacy claim usingthe Internet and receive an instant response toverify if an individual claim was either paid orrejected for each claim submitted.Supplemental Claims Payment Information(SCPI) is an electronic file similar toRemittance Advice Details (RAD) codes. Filesare generated on a weekly basis and availableto download from Transaction Services on theMedi-Cal website.June 2020

cmc dir3Special Segments/Claim TypesThis column indicated which segments within the claimtransactions may be submitted by a particular vendor, billingagent, or clearinghouse.BMCrossoverFXAttachments sent by standard mail.Crossover indicates that the submitter isauthorized to electronically bill claims thatautomatically cross over from Medicare to MediCal for payment (also called “Crossover Claims”).Attachments sent using a fax machine.NTEThe notes (NTE) segment is used with the837I/837P transaction. It is a situational segmentused to convey the description for the primarydiagnosis code previously submitted in the CMCRemarks field.PWKThe paperwork (PWK) segment is a situationalsegment used with 837I/837P transaction tomatch the claim to its attachments and/or othertypes of supporting documentation. Currently,Medi-Cal only accepts attachments at the claimlevel and not at the service line level.CMC Developers, Vendors and Billing Services DirectoryJanuary 2010

cmc dir4Company NameContactPhoneNumber4EGURU INC.AJAY DAS408-945-6304AAA BILLING & SOFTWARECAROL LIMA707-279-2204A AND A BILLING SERVICESINC.ANJELIKA SANAMIAN818-780-6604ABREA TECHNOLOGIES, INC.JEFF JEFFERSON973-729-7756ACCORDIS INC.DAVID L BROOKS213-857-5610ACCUBILL INC.RON DIMAANOACCUCODE MEDICAL BILLINGPHYLLIS MORGAN909-599-6118x108530-898-1201ACCUMED TECHNOLOGYSOLUTIONSTROY LAMBERTA & C CONVALESCENTHOSPITAL OF MILLBRAEADEPT MANAGEMENTSYSTEMSADVANCED BILLING MGMT.Website or E-mail AddressType ofVendorType ofTransactionSpecialSegments/Claim OMSoftware Vendor,Clearing HouseBilling Agent835, 837P837PPWKBilling IRE@ACCUBILLINC.COMClearing HouseBilling Agent835, 837I, 837P,270/271,276/277,PA,SCPI837I, 837P,270/271, 276/277837PBilling Agent835, 837PNTE, CrossoverACCUCODE@SUNSET.NETBilling Agent837PPWK, OMSoftware Vendor837INTEMARISSA CMERCADODONA HALL209-451-1588Billing Agent837IBilling AgentMILANA ADEPTMANAGEMENTSYSTEMS.COMMILANA KALIKA@YAHOO.COMBilling Agent835, 837P,270/271837PADVANCED MEDICAL BILLINGMARIA DAVALOS626-918-7787Billing Agent837I, 837PPWK, FX,CrossoverNTEADVANCED MEDICALSERVICESADVANCED PHYSICIANMANAGEMENTRIMA VOSKANI818-247-7600AMBERIMA@AOL.COMBilling Agent837PNTEJOHN CHOI213-272-5585JAYCPRO@GMAIL.COMBilling Agent837P, 270/271,276/277NTEAGAPI PHARMACYASMIK are VendorRTIP, PACrossoverA HOMECARE DEVICE INC.MARTIN are Vendor853, 837PALLCARE HEALTH SERVICES,INC.ALLIANCE COMPUTERTECHNOLOGIESITA JAMES909-390-5772ALLCARESERVICES@AOL.COMGORDON TOFTNER916-722-1111GOTOFTNER@GOALLIANCE.COMBilling Agent,OtherSoftware Vendor835, 837P,270/271, 276/277837PPWK, FX,CrossoverPWK, FXCMC Developers, Vendors and Billing Services Directory626-357-1100PWK, NTENTENTE, CrossoverCrossoverJune 2020

cmc dir5Company NameContactPhoneNumberWebsite or E-mail AddressType ofVendorType ofTransactionSpecialSegments/Claim TypesALLIED I-BILLING ANDINTERPRETING SOLUTIONSALTERNATIVE BILLINGCONSULTANTS, LLCJANNETTE ORKRISTACATHY ing Agent835, 837P559-798-0818CTIENKEN@TIME4ABC.COMBilling Agent835, 837IALLIANCE NURSING ANDREHABILITATION CENTERJUAN 37I, 270/271,276/277AMED MEDICAL BILLINGROBERT RESNICK562-407-2080INFO@AMEDINC.COM835, 837I, 837P,270/271, 276/277PWK, FX,CrossoverANESTHESIA BUSINESSSERVICEANS BILLING SERVICESPENNY STUEVE626-256-6010PSTUEVE358@AOL.COMSoftware Vendor,Billing Agent,Clearing HouseBilling AgentARUS ling Agent837I, 837P,270/271, 276/277837PNTEAPEX BUSINESS COMPUTINGALANCHARBONNEAU310-641-9691Software Vendor835, 837I, 837PPWK, FX, BM,CrossoverAPEX MEDICAL BILLINGDENNIS ng Agent837P, 276/277NTEARCADIA ADHC INC.VICTOR overARLENE MASTERS BILLINGSVCARCADIA ADHC INC.ARLENE MASTERS619-271-3997ARTICO@YAHOO.COMBilling Agent837PVICTOR overARROWHEAD HOMEALISHA MBilling Agent837IPWK, BMASAP SERVICESJAMES HARDISANor VICTORIA SMITH800-500-0699ASAPMED@AOL.COMBilling Agent835, 837I, 837P,270/271CrossoverA.S.P. BILLING SERVICESCHERYL R209-267-1428ASP.BILLING@SBCGLOBAL.NETBilling AgentCrossoverATHENA HEALTH INC.ROGER HOFFMAN617-402-1000WWW.ATHENAHEALTH.COMSoftware Vendor837I, 837P,270/271, 276/277837P, 270/271,276/277AUTHENTIDATE HOLDINGCORP.A & C CONVALESCENTHOSPITAL OF MILLBRAEA & R BUSINES SERVICES,INC.BEST CARE SERVICESJOSEPH STEIN908-787-1700WWW.AUTHENTIDATE.COMOtherMARISSA CMERCADORAMON OCAMPO@VERIZON.NETBilling Agent837IBilling Agent835, 837I, 837PSCARLET ERVICES.COMBilling Agent270/271, 276/277CMC Developers, Vendors and Billing Services Directory310-442-2113PWK, NTE, FX,CrossoverPWK, FX, BMPWK, NTEPWK, FX,CrossoverPWK, NTEMay 2010

cmc dir6Company NameContactBMS REIMBURSEMENTJESSICA PORRASBRENTWOOD HEALTH CAREPhoneNumberWebsite or E-mail AddressJPORRAS@BMSEMAIL.COMERIC SANTIAGO800-478-2778x 142310-828-5596BRISTOL HOSPICEPARLENE SKIBY801-325-0137CAL CARE MEDICAL GROUPVINNIE LCALIFORNIA BILLINGSPECIALISTCALIFORNIA MEDICALSYSTEMSType ofVendorType ofTransactionSpecialSegments/ClaimTypesBilling Agent835, , 837I,270/271835, 837I562-427-1700RAYMANAGEDCARE@YAHOO.COMSoftware Vendor835CrossoverLISA RODRIGUEZ310-539-6656L-ROD@CA.RR.COMBilling Agent835, 837PAMOUSH .COMSoftware Vendor835, 837I, 837P,SCPIPWK, FX, BM,CrossoverCAPARIOPAYER SERVICES800-586-6938WWW.CAPARIO.COMClearing House835, 837I, 837P,270/271PWK,CrossoverCAPITAL HOME HEALTHCHERYL FULLER310-253-5384OtherCARE ALTERNATIVE OFCALIFORNIA LLCCARE CENTRALYEWANDE EFODILISoftware Vendor835, 837ICrossoverRICK KEMERER908-931-9068x RAL.COMSoftware Vendor835, 837P, RTIPPWK, FX,CrossoverCAREPOINT INC.JOHN SCHWEIKART843-853-6999CASSQUEST INC.OLGA CRAVEN818-703-0080CCRATH & CO.CECILE MERCADO714-343-7479CCS BILLING CENTERBOBBIE DIXON707-576-1566CHDP SYSTEMMARYAM MIZRAHI818-324-9590CEDAR WAY BILLINGCATHY530-477-8375CITY OF DINUBAAMBULANCELUPE MONTEJANOCLAIM LOGIC LLCMICHELE SIKESCLAIM REMEDICLASSIC DATA SERVICEIMPLEMENTATIONDEPT.ART CROSSCMC Developers, Vendors and Billing Services PSoftware Vendor,Billing AgentSoftware Vendor,Billing AgentBilling Agent837I, 837P,270/271, DPSYSTEM.COMCATHYJM@SBCGLOBAL.NETSoftware Vendor270/271CrossoverBilling Agent837PCrossover559-591-5900x 118LMONTEJANO@DINUBA.CA.GOVOther837I, 837PPWK, BM,Crossover405-942-9800WWW.CLAIMLOGIC.COMClearing House837PPWK, NTE800-763-8484WWW.CLAIMREMEDI.COMClearing House323-751-1174CLASSICDATA@ATT.NET835, 837I, 837P,270/271, 276/277835, 837PPWK, FX,CrossoverPWK, NET, FX,CrossoverBilling AgentPWK, NTEJune 2020

cmc dir7Company NameContactPhoneNumberWebsite or E-mail AddressType ofVendorCM CONSULTINGCESAR VINAS818-848-2368CMCONSULTING@EARTHLINK.NETBilling AgentCOMPLIANCE BILLINGSPECIALIST LLCLISA GRAYGONZALEZ866-336-3267COMPUCLAIM MEDICALBILLING CENTERCOMPUBILL PLUSLINA LEWIS310-644-9702JIM CARE SYSTEMS LLCBRUCE LLING.ORGCONTRA COSTA MEDICALBILLINGCORRELINK SYSTEMS INC.JEAN RIOLOSTEVEN BREAKER925-685-4854x 102449-338-4787CORTEX EDI, INC.ANI800-485-5977COUNTRY VILLA HEALTHSERVICESCPSI (COMPUTER PROGRAMSAND SYSTEMS INC.)CRITICAL CARE SPECIALTYBILLINGCROCKER DRUGMAURICO VEJARBRIAN CRANFORD310-574-3733x 2169251-639-8100BONNIE WARREN760-439-6581ELAINE FOTI619-267-8159CV HEALTH SERVICES INC.DBA MEDICAL GROUPPHARMACYCYPRESS GARDENS REHABCARE CENTERD&S MEDICAL BILLINGSERVICESDANIEL BARAJAS, MDLINDA ALERTA818-787-4490GRETCHENREYNOLDSSHAHNAZ OMGABU626-337-2777DATA MANAGEMENTSERVICESDATA SYSTEMS GROUPPAMELA SHAWROB STUCKERCMC Developers, Vendors and Billing Services DirectoryType ofTransactionSpecialSegments/ClaimTypesNTEBilling Agent837P, 270/271,276/277837I, 837PBilling Agent837PPWKBilling Agent837I, 837PNTE, Crossover835, 837I, 837PNTE, FX,CrossoverCCMBINC@SBCGLOBAL.NETSoftware Vendor,Billing Agent,Clearing HouseBilling Agent837PNTEWWW.CORRELINK.COMSoftware OUNTRYVILLAHEALTH.COMClearing HouseSoftware Vendor835, 837I, 837P,270/271, 276/277837I, 837PPWK, FX,CrossoverNTEBRIAN@CPSINET.COMClearing House835, 837I, 837PBWARREN@TCEMG.NETWWW.TCEMG.NETBilling Agent837PPWK, BM,CrossoverNTEOtherPA, RTIPCrossoverOther1.1, RTIPCrossoverBilling Agent837PPWKGGALLEGOS RAC@YAHOO.COMSoftware Vendor916-676-1450PSHAW@DMSCO-INC.COMBilling Agent835, 837P,270/271,835, .COMWWW.DATASYSTEMGROUP.COMSoftware Vendor837I, 837PPWKLALERTA@MEDICALGROUPPHARMACY.COMPWK, NTE,CrossoverBilling AgentMay 2010