Capitation Payments

Provider Type

  • Participating Physician Groups (PPG)
  • Hospitals

Health Net sends a monthly payment by the tenth of each month to capitated providers via the Checkwrite system. Capitation payments to providers who are on a direct-deposit system vary according to their contract with Health Net. A capitation reimbursement summary is also prepared and sent with the payment to identify the amount payable by financial pool. The capitation check includes payment for the current month as well as any retroactivity reported since the last capitation cycle.