The Clever Choice in Comprehensive Health Care

Welcome Clever Care Providers

Clever Care's provider portal is a secure, HIPAA compliant platform for providers to communicate with Clever Care. This site will allow you to submit authorizations and check on status, look up claims, and check benefits.  


New to the provider portal? Register today by filling out and signing this agreement: Clever Care EZ-NET Access Agreement. You may send us an email to clevercare-ezsupport@ccmapd.com or to your provider relations representative with your completed agreement. Your account will be created within 5 business days or sooner.

 

Providers, due to plan roll-over transactions happening with CMS right now, EZ-Net may appear to only show effective dates in 2023. Please click the ‘history' button to see the current enrollment for your members.

 
Links







Clever Care Health Plan's website


Find a provider


Learn more about Clever Care's plan benefits for your members


Delegated Entities

Rx: Caremark

Dental: Liberty Dental

Vision: VSP

Hearing Aids: Nations Hearing (866) 304-7557

OTC: Nations OTC

Herbal Supplements: TS Emporium



Clever Care directly contracted network (not IPA networks)

Lab: LabCorp

Imaging: RadNet


  Provider Survey

   

Participating IPAs

For a full list of participating groups with contact information on how to submit claims and authorizations to them, please click on this link: Clever Care Medical Group Contact List.


Freedom Physicians Corp IPAMedichoice IPA
Southland Advantage MGAdvantage Care IPA Inc
United Physicians InternationalPrimary Care Assoc of CA
Chaffey Medical GroupSuperior Choice Medical Group
Orange County Advantage MGAMVI Medical Group Inc
Alpha Care Medical Group IncAlpha Care MG - FYB
United Care Medical GroupAccountable HC IPA - AHMC
Accountable HC IPA - FYBPrimeCare Med Grp Chino Valley
Greater Tri Cities IPAAMDC, IPA
Center IPAChoiceOne IPA
Merit IPA IncNexus Health Medical Group
Aligned Community PhysiciansAffiliated Partners IPA
Health Excel IPAGolden Physicians MG
IN Physician AssociatesDoctors Managed IPA, Inc.
Capital Health PhysiciansMedCare Partners Inc
Physician Healthcare Intergration IPAAdventist Health Care Network Inc
Welcome Health Medical GroupParamount IPA
Stewart Medical GroupAtlas Healthcare Physicians
Allied Pacific IPA - AHMCAllied Pacific IPA - FYB
Nuestra Familia Medical GroupPreferred IPA of California
Innova Medical Network IncCareMore
Blue Zones Health of CABlue Zones - Marina
Empire Healthcare IPA (Blue Zones)


References and Forms

EZ-NET

Provider Portal Registration and User Guide

Clever Care EZ-NET Access Agreement


UM

Prior Authorization List

Prior Authorization Request Form


Annual Wellness Visit Forms

2025 Very Clever Wellness Incentive (VCWi) Program Flyer

CCHP AWV Form 2026


Claims and Clearinghouse Information


Office Ally                                                                       

Payer ID: CC168                                                     

Encounter ID: CC16E                                              


Clever Care Claims Address

Clever Care of Golden State

Claims Department

7711 Center Ave, Suite 100

Huntington Beach, CA 92647


Payment Vendor (EFT, Checks, virtual credit cards): ECHO. Please enroll when contacted or visit their site to sign up: https://www.providerpayments.com/.


Provider Dispute Resolution Request Form

Overpayment Refund Notification Form


Provider

Provider Information Change Form

Provider Orientation Presentation

2025 Provider Manual Presentation

Inflation Reduction Act (IRA) Provisions

Physician Verification form

Clinical Practice Guidelines

2025 Clever Care Health Plan, Inc MOC Staff & Provider Training

2026 HRA Form Chinese

2026 HRA Form English

2026 HRA Form Korean

2026 HRA Form Spanish

2026 HRA Form Vietnamese

2026 Member Rewards Chinese

2026 Member Rewards English

2026 Member Rewards Korean

2026 Member Rewards Spanish

2026 Member Rewards Vietnamese

CAHPS Best Practice Chinese

CAHPS Best Practice English

CAHPS Best Practice Korean

CAHPS Best Practice Spanish

CAHPS Best Practice Vietnamese

Care of Older Adults and Social Needs Form English

Grievance and Appeals

Grievance and Appeals Form

Waiver of Liability Form



EZ-NET v6.8.0