Turn CMS-1500 claims into a Medi-Cal upload file

Add your claims, fix the problems in plain words, and download the file. You upload it to Medi-Cal yourself, under your clinic's own Submitter ID.

Drop your CMS-1500 claims here

PDF or spreadsheet. Many at once.

Create a free account

Free to start. No card needed. A Business Associate Agreement is accepted when you create your workspace.

How it works

  1. 1

    Add claims

    Drop in your CMS-1500 forms as PDFs or a spreadsheet, or type a claim in. For a scan or a photo, type the claim beside the page.

  2. 2

    Review

    Each claim opens beside its form, with problems named in plain words. Nothing is used until you confirm it.

  3. 3

    Generate

    Choose Test or Production, see the cost first, and download the file.

  4. 4

    Upload to Medi-Cal

    You upload it in the Medi-Cal Provider Portal. We show the steps beside the download.

What Medi-Cal needs from your clinic

Medi-Cal, not ClinikEHR, issues Submitter IDs and decides what it accepts. Your workspace walks you through each step.

A Submitter ID

Your clinic asks Medi-Cal for its own 3-character Submitter ID with the Telecommunications Provider and Biller Application/Agreement (DHCS 6153).

Provider Portal registration

You register that Submitter ID in the Medi-Cal Provider Portal, where you upload your files under Transaction Center, EDI Submission.

A test first

Medi-Cal asks for at least 10 test claims for each type of claim you bill. Test files are free here, and the checklist in your workspace keeps your place.

Pay per claim, in credits

No separate Claims subscription: it runs on your ClinikEHR plan. Test files are free. One credit is one cent.

Each claim in a Medi-Cal file

Credits per claim by plan
PlanPer claim
Free25 credits ($0.25)Pay per claim, no subscription
Essential15 credits ($0.15)Cheaper on a paid plan
Team10 credits ($0.10)For busier practices
EnterpriseIncludedIncluded in the plan

Credit bundles

  • $101,000 credits
  • $252,500 credits
  • $505,250 credits+5% bonus
  • $10011,000 credits+10% bonus

On the Free plan, each month

  • 3 test files of up to 25 claims each
  • 5 production files
  • 25 production claims
  • 3 downloads of each production file

Limits reset on the 1st. Nothing you have already made is lost at a limit. Paid plans have no file caps, only the per-claim credits.

Plain answers

Make your first test file today

Create a free workspace and generate a test file at no charge.

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