22-125m New to Health Net? Check Out Your New Welcome Packet!
Date: 02/15/22
This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, and Ancillary providers.
A solid start giving you information about our operations, policies and procedures
The Commercial, Marketplace and Wellcare By Health Net Welcome Packets for newly contracted providers are now available online.
Now, you can either view each topic online, copy and send link(s) for individual topics to your staff or print the flyer(s) as needed.
See what contents are available within the packets on the next page.
Inform your downstream entities
When contracting new providers with Health Net Medicare or Commercial lines of business, inform them about the Welcome Packet, its benefits and on how they can access the website.
How to access the Welcome Packet
Go to the Provider Portal
1. Under Resources For you, select New Provider Welcome Packets.
2. Select applicable line of business Welcome Packet.
What’s in the Welcome Packets
The packet includes high-level information and contacts on the following topics:
Topic | Commercial | Medicare |
|---|---|---|
Who We Are and What We Do | × | × |
Claims Processing | × | × |
Prior Authorization | × | × |
Referrals | × | × |
Case Management | × | × |
Provider Appeals | × | × |
Member Grievance | × | × |
Adding or Removing Members | × | × |
Emergency Services | × | × |
Pharmacy | × | × |
Additional Benefits | × | × |
Website Details | × | × |
Cultural Sensitivity | × | × |
Evidence-based Practice Guidelines | × | × |
Health Net Provider Services Center | × | × |
ty Verification | × | × |
Payspan Health | × | × |
Risk Adjustment | N/A | × |
Additional information
If you have questions regarding the Welcome Packets, contact the Health Net Provider Services Center within 60 days, by phone or through the Health Net provider website as listed below.
Line of Business | Telephone Number | Provider Portal | Email Address |
|---|---|---|---|
EnhancedCare PPO (IFP) | 1-844-463-8188 |
| provider_services@healthnet.com
|
EnhancedCare PPO (SBG) | 1-844-463-8188 | ||
Health Net Employer Group HMO, POS, HSP, PPO, & EPO | 1-800-641-7761 | ||
IFP (CommunityCare HMO, PPO, PureCare HSP, PureCare One EPO) | 1-888-926-2164 | ||
Medicare (individual) | 1-800-929-9224 | ||
Medicare (employer group) | 1-800-929-9224 |