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Health Net Medi-Cal Provider Services Center

As a prepaid health care delivery system, Health Net has some unique characteristics that make timely response and accurate information necessary. If prompt and accurate information is not provided, a member may misuse the program, resulting in medical services not being covered. To avoid this, Health Net directs inquiries from providers to Health Net's Medi-Cal Provider Services Center or to Health Net's regional provider network administrators, where available. Members are directed to the Medi-Cal Member Services Department.

Health Net's Medi-Cal Provider Services Center representatives are available 24 hours a day, seven days a week, to assist providers with:

  • Member eligibility, effective dates and eligibility research
  • Primary care physician (PCP) selection and transfer requests for members
  • Questions about the Health Net Medi-Cal Recommended Drug List (RDL)
  • Benefit information
  • Professional and hospital billing
  • Claims
  • Questions regarding claims status
  • Exceptions and administrative decisions
  • Complaints and grievances regarding provider care, delivery of care or participating physician group (PPG) staff
  • Requests for removal of members or with disciplinary actions

The Health Net Medi-Cal Provider Services Center's toll-free telephone number is printed on the back of the member's identification card. The servicing provider is responsible for confirming eligibility at the time of service.

21281 Burbank Boulevard, C-5
Woodland Hills, CA 91367
1-800-675-6110, option 2
Fax: (818) 676-5387 or 1-800-281-2999
Provider website: provider.healthnet.com (Online claims status)

Email addresses: 
Eligibility and billing inquiries: HNMedi-cal.Eligibility@healthnet.com 
Capitated claims/non-payment: HNMedi-cal.ProviderBilling@healthnet.com

Providers submit provider inquiries via fax or email.

Fax: (818) 676-5161 or (818) 676-5387
Email: HNMedi-cal.ClaimsInquiry@healthnet.com

Last Updated: 11/04/2019