Reports

Provider Type

  • Participating Physician Groups (PPGs)
  • Hospitals

The following site-level reports are generated monthly by Health Net and sent to participating providers. Consolidated- and physician-level reports are available on request.

Report Option

Description

Consolidated

Allows the participating physician group (PPG) and all satellite offices to receive one integrated report

Site

Allows the PPG to have all its satellites receive their own sets of reports

Physician

Allows each PCP within a PPG to receive an individual report. This option is only available for the Eligibility and Remittance Detail files

The following ACE reports are available to PPGs:

  • BRM 42 - Expanded Eligibility Report
  • BRM 11 - Activity Analysis Report - All member-related activities during the prior month
  • BRM 12 - Remittance Detail Report
  • BRM 13 - Eligibility Summary by Employer Group Report
  • BRM 78 - SB 260 Reconciliation Report
  • BRW 11 - Weekly Analysis Report

Refer to the Eligibility Reports topic for more information.