Eligibility & Claims

Providers are responsible for verifying members’ eligibility for all medical services rendered. Providers may verify eligibility in the following ways:

Our Medical Groups

  • Access the member’s health plan website or call the individual’s health plan (Health Net or UnitedHealthcare – see the member’s ID card).
  • Call Canopy Health Provider Services between 8:30am – 5:00pm (Pacific Time) Monday through Friday at 844.315.4645.
  • Canopy Health also distributes current eligibility lists to its participating Medical Groups on a monthly basis.

Filing a Claim

Providers are encouraged to file claims electronically whenever possible. Submitted claims should provide all required information; those submitted with missing data may result in a delay in processing or denial.

All Canopy Health facility claims are processed by Conifer Value-Based Care. Professional claims will continue to be processed by the participating Medical Groups and/or their respective vendors.

Electronic Claim Submissions

Clearinghouse

Phone Number

Payer ID

Office Ally

CAPMN

Change Healthcare

95399

MDX

CAPMN

Electronic Claim Submissions

P.O. Box 260890
Encino, CA 91426

Appeals & Provider Disputes

P.O. Box 261760
Encino, CA 91426

Claims Dept. Phone

844.315.4645 or 
818.461.5055; IVR available 24/7

All Other Provider Inquiries
844.315.4645

Website Information

  • For concerns about facility claims, member eligibility, contracted providers, contact: Conifer Value-Based Care: www.coniferhealth.com. Select Client Login, then select Cap Connect, or call 844.315.4645 for login assistance.
  • For general information about Canopy Health and to search our directories of physicians, hospitals, and other providers:
    Canopy Health: www.canopyhealth.com.

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