Request for Information
Provider Type
- Participating Physician Groups (PPG)
A participating physician group (PPG) has five calendar days after receiving a request for information from Health Net regarding a member appeal to submit the necessary case file information to Health Net. The case file information includes the medical records, rationale for denial and alternative treatment plan. PPGs must follow Health Net's provider information request process when submitting information on member appeals and pertinent case file documentation to Health Net.