Participating physician groups (PPGs) considering the termination of a Health Net member must submit a Transfer/Termination (T/T) Incident Report to the Health Net Transfer/Termination Request Unit.

T/T Requests

P.O. Box 10348 Van Nuys, CA 91410 Fax: 877-831-6019

T/T Requests

Medicare Services:

Health Net Appeals and Grievances Department P.O. Box 10344 Van Nuys, CA 91410-0344 Fax: 877-713-6189