Helthnet claim submission address

Submission of Claims

All paper claims and supporting information must be submitted to:

Line of Business Address

AIM, Flex Net, Healthy Families, HMO, Individual Family Plans, Medicare Supplement, POS, PPO Health Net Commercial Claims   P.O. Box 14702  Lexington, KY 40512

Medi-Cal Health Net Medi-Cal Claims     P.O. Box 14598   Lexington, KY 40512

Medicare Advantage Products: Seniority Plus, Medicare PPO, Special Needs (SNP) and Healthy Heart I & II Health Net Medicare Claims    PO Box 14703           Lexington, KY 40512

Salud con Health Net Health Net Salud con Health Net Claims             P.O. Box 14702             Lexington, KY 40512

Information regarding electronic claims submission is available on Health Net's Web site at www.healthnet.com, or by contacting Health Net's dedicated Electronic Data Interchange (EDI) line at (800) 977-3568.

Electronic claims for Health Net members must be submitted to the appropriate clearinghouse: Clearinghouse

Telephone Number Website Health Net Payer Identification (ID) Number CA, OR & WA AZ CT, NJ, & NY Capario (formerly MedAvant) AZ, CA, OR & WA(888) 894­7888 CT, NJ, &NY (800) 792­ 5256 www.capario.com 95567 38309 06108 Emdeon (WebMD) (877) 469­ 3263 www.transact.emdeon.com 95567 38309 06108 As a result of Health Net's agreement with MD On­Line, all Health Net claims can be submitted electronically via Health Net's website at provider.healthnet.com. MD On­Line (888) 499­ 5465

www.mdon­line.com 95567 38309 06108

Health Net encourages participating providers to review all electronic claim submission acknowledgement reports regularly and carefully. Questions regarding accessing these reports should be directed to the vendor or clearinghouse (Capario, Emdeon (WebMD) or MD On­Line). Health Net Access Behavioral Health Coordinator Found in: Contacts (602) 794­1493

Health Net Access Behavioral Heath Case Management Department Found in: Contacts 1­855­299­3196 Fax: 1­855­825­6146

Health Net Access Case Management Department Found in: Contacts Information on and referrals to case management programs. 1­800­977­7281  Fax: 1­855­825­6146

Health Net Access Claim Submission Found in: Contacts All initial paper claims, paper encounters and claims resubmitted with the additional information Health Net has requested must be submitted to:

Health Net Access, Inc. PO Box 14095 Lexington, KY 40512  

Health Net Access EPSDT Tracking Form Submission Found in: Contacts Copies of EPSDT tracking forms should be submitted to:

Health Net Arizona Medicaid PO Box 419071 Rancho Cordova, CA 95741

Health Net Access Prior Authorization Department Found in: Contacts Contact the Health Net Access Prior Authorization Department for prior authorization requests and assistance with hospital discharge planning. Business hours are 8:00 a.m. to 5:00 p.m., Monday through Friday. 1­888­ 926­1736

Fax: 1­855­764­8513 for general prior authorization requests After business hours, a voicemail and fax system is available 24 hours a day, seven days a week for prior authorization requests.

When discharge planning is required for Health Net Access members discharging on a weekend or holiday, leave a message for the on­call nurse. The on­call voicemail box is monitored from 9:00 a.m. to 4:30 p.m., Saturday, Sunday and holidays, and the on­call nurse returns calls to assist providers with urgent weekend discharge planning needs during this time.

Health Net Access Provider Disputes Found in: Contacts Submit provider dispute requests to the following address:

Health Net Access Provider Disputes 1230 West Washington Street, Suite 401 Tempe, AZ 85281 fax: 1­855­405­6889

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