Claims Submission
Provider Type
- Participating Physician Groups (PPG)
- Ancillary
The following is applicable to shared-risk participating physician groups (PPGs) or when Health Net is at risk. Claims for durable medical equipment (DME) must include the following information:
- A copy of the bill for each item attached to the completed claim form
- "EQUIP" written in the procedure column
- Name of the equipment written in the description column (more than one line may be used)
- Reference to the authorization number, when indicated