Claims Submission

Provider Type

  • Participating Physician Groups (PPG) 
    (does not apply to HSP)
  • 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