Claims and Provider Reimbursement
Provider Type
- Physicians
- Participating Physician Groups (PPG)
- Hospitals
- Ancillary
This section describes claims and provider reimbursement
Select any subject below:
- Remittance Advice and Explanation of Payment System
- Accessing Claims on Health Net Provider Portal
- Adjustments
- Balance Billing
- Billing and Submission
- Emergency Claims Processing
- Eligibility Guarantee
- Fee-For-Service Billing and Submission
- Premium Payment Grace Period for Beneficiary Qualifying for APTC
- Professional Claim Editing
- Refunds
- Reimbursement
- Schedule of Benefits
- Timely Filing Criteria
- When Medicare is a Secondary Payer