Behavioral Health Contact Information
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Behavioral Health Function | Description and/or Contact |
|---|---|
Claims submission addresses, payer IDs and claim status check Note: For Medi-Cal claims with overlapping dates of service (DOS), providers must split the claim and submit two separate claims. This does not apply to provider appeals/disputes. Please see Provider disputes for those addresses. | Commercial (Employer Group HMO/POS and PPO): Health Net Commercial Claims P.O. Box 9040 Farmington, MO 63640-9040 Payer ID: 95567 Claim status check: Phone: 800-444-4281 IFP: Health Net Commercial Claims – IFP P.O. Box 9040 Farmington, MO 63640-9040 Payer ID: 68069 Claim status check:Medicare: Health Net Medicare Claims P.O. Box 9030 Farmington, MO 63640-9030 Payer ID: 68069 Claim status check: Medi-Cal (includes CalViva Health and Community Health Plan of Imperial Valley): FOR DATES OF SERVICE ON OR AFTER SEPTEMBER 1, 2024 Health Net Medi-Cal Claims P.O. Box 9020 Farmington, MO 63640-9020 Payer ID: 95567 FOR DATES OF SERVICE PRIOR TO SEPTEMBER 1, 2024 Health Net Medi-Cal Claims P.O. Box 14621 Lexington, KY 40512-4621 Payer ID: 22771 Claim Status check: Phone: 800-444-4281 |
Claims inquiries or questions | Behavioral Health Provider Services Phone: 844-966-0298 |
Contract renegotiation | Send a request via email to DNBHC@healthnet.com |
Eligibility and benefit checks | |
Prior authorization | Submit initial prior authorization requests for all facility-based behavioral health services as outlined below. Concurrent reviews will continue with the assigned Utilization Review Clinician. Commercial and Medicare (Ambetter HMO/PPO, Employer Group HMO/POS, and Wellcare By Health Net members)
Medi-Cal Call 844-966-0298 for assistance |
Provider disputes Note: Submit using the Behavioral Health Provider Appeal/Dispute Form (PDF) | Submit to the appropriate address based on the lines of business: Commercial: Health Net Commercial Provider Appeals/Disputes P.O. Box 9040 Farmington, MO 63640-9040 IFP: IFP Provider Appeals/Disputes P.O. Box 9040 Farmington, MO 63640-9040 Medicare: Medicare Provider Appeals/Dispute P.O. Box 9030 Farmington, MO 63640-9030 Health Net Medi-Cal, CalViva Health or Community Health Plan of Imperial Valley (address to applicable entity): Health Net Medi-Cal Provider Appeals/Disputes, or CalViva Health Provider Appeals/Disputes, or Community Health Plan of Imperial Valley Provider Appeals/Disputes P.O. Box 989882 West Sacramento, CA 95798-9882 |
Request a copy of your contract | Behavioral Health Provider Services Phone: 844-966-0298 |
Request to add or remove sites or practitioners from practice, roster updates | Providers directly contracted with Health Net can refer to the Participating Provider Operations page for detailed instructions. Requests to add or remove sites or practitioners from a practice are contractual requirements. Providers contracted under a PPG can contact their PPGs to update this information. |
Technical portal support and group administrator requests |
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Update demographic information, Tax ID number, National Provider Identifier, group name, or data that are in the provider directory | Providers directly contracted with Health Net can refer to the Participating Provider Operations page for detailed instructions. Roster updates are contractual requirements. Providers contracted under a PPG can contact their PPGs to update this information. |