Inquiry Submission
Provider Type
- Physicians
- Participating Physician Groups (PPG)
- Hospitals
- Ancillary
For routine claim follow-up, providers may contact the Health Net Provider Services Department. Providers may also use any of the following claims and appeals address information:
Providers may use their own spreadsheet or form when submitting provider inquiry requests to the Health Net Medi-Cal Provider Services Center, Community Health Plan of Imperial Valley Provider Services Center or CalViva Health Provider Services Center. Providers must include the following information to ensure appropriate research:
- Provider's full name
- Provider tax ID or NPI number
- Member's name
- Member's date of birth (DOB)
- Health Net identification (ID) card number
- Date of service
- Billed amount
- Claim number
Providers who participate in Health Net's Medi-Cal plan under a capitated agreement with a participating physician group (PPG) must submit inquiries to the PPG or affiliated health plan (Molina Healthcare in Los Angeles County) that processed the claim.
For Los Angeles County only: Molina Healthcare is Health Net's subcontracting health plan for the Medi-Cal managed care program in Los Angeles County. For Molina Healthcare Provider Services Department please contact Molina directly.