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Dispute Resolution

Provider Type

  • Participating Physician Groups (PPG)

If there is a dispute between the member and the participating physician group (PPG) about the need for auxiliary aids and services, Health Net resolves it by filing an expedited appeal on the member's behalf. Health Net makes the final determination (which may include the use of an independent third-party reviewer) and assists the PPG in ensuring that any necessary auxiliary aids and services are provided.

Last Updated: 07/01/2024