Overview
Provider Type
- Participating Physician Groups (PPG)
Delegated participating physician groups (PPGs) are responsible for providing all professional services to members. At times, PPGs may be required to use non-participating physicians, health care professionals, or facilities in order to provide a full scope of services.
Health Net has developed prior authorization request forms Inpatient California Health Net Commercial Prior Authorization (PDF) and Outpatient California Health Het Commercial Prior Authorization (PDF) to assist PPGs with their processes for using non-participating providers. PPGs may use their own systems and authorization forms if they have been approved by Health Net.