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Member Appeals and Grievances

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)
  • Hospitals
  • Ancillary

Health Net does not delegate member appeals or grievances. All grievances and appeals should be forwarded immediately to the Health Net Appeals and Grievances Department.

Health Net prefers receiving appeals and grievances by fax within one business day. This enables Health Net to receive, process and resolve the member's issue quickly in accordance with state and federal timeliness requirements. Contact the Health Net Appeals and Grievances Department.

Last Updated: 11/19/2019