Gold Coast Health Plan Provider Portal Login

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Frequently Asked Questions

• Where do I get the Gold Coast health plan provider directory?

  Members receive a welcome packet that includes a Provider Directory. The completed provider selection form can be mailed to Gold Coast Health Plan (GCHP). You can select or change your Primary Care Provider (PCP) by calling us at 1.888.301.1228, Monday through Friday, from 8 a.m. to 5 p.m. If you use a TTY, call 711.

• What does mcpdip mean for Gold Coast health plan?

  The Managed Care Provider Data Improvement Project (MCPDIP) is a state-issued requirement change for the submission of provider data that replaces the current monthly submission procedure governed by APL-14006. MCPDIP will allow the state Department of Health Care Services (DHCS) to monitor Gold Coast Health Plan's (GCHP) provider network.

• Is the Gold Coast health plan accepting EFT?

  The EFT option is currently available to in-network providers in Ventura County. Download the Electronic Funds Transfer Form. As of December 2020, Gold Coast Health Plan will no longer be accepting the Medi-Cal Long-Term Care (LTC) 25-1 form for claim submissions.

• Can You retrieve EOBs from Gold Coast health plan?

  Providers may also retrieve electronic EOBs (X12 835 transactions) from Gold Coast Health Plan for X12 837 Professional and Institutional transactions only. If you will be submitting electronic claims directly to EDI Direct, please complete the following form.

• How does the Gold Coast health plan work?

  The Gold Coast Health Plan (GCHP) Provider Portal provides online access to member eligibility information and gives users the ability to enter authorization requests, check status of authorizations, and check the status of claims. Office managers request and maintain user privileges for themselves and for office staff.

• What can you do with the provider portal?

  Provider Portal The Provider Portal gives you free, real-time access to many payers through your browser. It’s ideal for direct data entry, from eligibility to authorizations to filing claims, and getting remittances. Some payers support special services on the Portal like checking claim status, resolving overpayments, and managing attachments.

• How can I Reset my providerportal account password?

  If you log in through AIM, visit the account access page on the ProviderPortal to reset your password. If you log in through a health plan provider website, proceed to that site and follow the instructions there. Still Having Trouble? Email our ProviderPortal Support Team or call (800) 252-2021 for assistance.

• What does availity Provider Portal do for You?

  Availity is the place to connect with your payers—at no cost to providers. We work with hundreds of payers nationwide to give providers a one-stop-portal where they can check eligibility, submit claims, collect patient payments and track ERAs, and even sign up for EFT.