NOTICE: ICD 10 is in Effect as of October 1, 2015

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Serving your health with excellence!

We dedicate our work to helping you live a healthy life

Claims & Encounter Submission.
For Claims, use Payer ID: PPM01.
For Encounters, use Payer ID: PPM02

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Our resources include: Referral Submission and Status Inquiry, Claims Status Inquiry, & Provider Dispute Resolutions Status Inquiry.

We have a web support team dedicated to you.
Phone: 951-280-7700
Fax: 951-280-8221

News About Cal Care IPA

Cal Care IPA serves Los Angeles County, which is home to approximately 2,500,000 Medicaid and approximately 1,030,000 Medicare beneficiaries. Cal Care IPA, along with Los Angeles Medical Center IPA, has contracted with 65 PCPs and have a network of 500 specialists, serving over 36,000 individuals, including approximately 36,000 Medi-Cal beneficiaries. Cal Care IPA is now contracted with Blue Cross, Care1st, Health Net, and Molina Healthcare!

Cal Care IPA has been dedicated to providing the highest level of commitment and support for its physicians since 1990. In addition, we are proud to be managed by Primary Provider Management Company Inc (PPMC). Our goal is to provide the highest quality service and care to our members and providers.

Meet our Provider Representative!

The best of professionals

Cheryl Flynn

Provider Relations Manager
Cal Care Medical Group IPA
Phone Number: (626) 833-1034

A web-based HIPAA compliant application that enables secure data transactions to and from network providers. Features include: Referral Submission and Status Inquiry, Claims Status Inquiry, & Provider Dispute Resolutions Status Inquiry.

By developing user friendly products for our Customers, as well as building long lasting relationships with them, our goal is to be the highest volume processor of Healthcare Claims and the most affordable Clearinghouse in the Nation!

Value Proposition

Cal Care IPA’s unique and powerful operating platform provides contracted physicians with the support to improve their clinical and operational efficiency. Providers benefit from the scale, market share and growth of Cal Care IPA which provide greater stability in patient volume. Additionally, physicians benefit from Cal Care IPA’s name recognition and sizeable patient base, which drives word of mouth patient referrals from friends and family. Importantly, Cal Care IPA’s capabilities have resonated well with PCPs and a majority of the Cal Care IPA’s providers have been with the Cal Care IPA for more than five years.

Utilization Management

The role of the Utilization Management (UM) Department is to ensure consistent delivery of appropriate and quality health care services to our members. The UM functions include precertification, inpatient concurrent reviews, discharge planning, and retrospective reviews. The Utilization Management department makes decisions only on appropriateness of care and service, including existence of coverage. Cal Care IPA does not reward practitioners or other individuals for issuing denials of coverage or service care. There are no financial incentives that would encourage UM decision makers to make decisions that would result in under-utilization of services.

Get in Touch

Cal Care IPA

2115 Compton Ave. Suite 301
Corona, CA 92881
Main Number: 951-280-7700

Customer Service

Phone: 951-280-7700

Web Portal Helpdesk

Phone: 951-280-7700
Fax: 951-280-8221

Health Services

Phone: 951-280-7867
Fax: 951-280-8202


Phone: 951-280-7830
Fax: 951-280-8209

Provider Relations

Phone: 951-280-7700
Fax: 951-280-8213

IT/IS Department

Phone: 951-280-7760

Human Resources

Phone: 951-280-7711
Fax: 951-280-8220