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
Paper 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
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.