Reports
Provider Type
- Participating Physician Groups (PPG)
- 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.