23-781 See What News Is Online for July 2023
Date: 08/04/23
Go to the Provider Library for the latest information that can help you do business with us
The table below outlines communications posted in the Provider Library in June 2023. The table includes the posting date, material number and title, type of notice, applicable audience and counties, and a summary of the communication.
Date, Number and title | Type of notice | Audience1 | Lines of business2 | Summary |
|---|---|---|---|---|
July 7, 2023 23-662m, Get Paid Faster With Payspan® | News & Announcements | Physicians PPGs Hospitals Ancillary providers
| IFP (HMO/PPO) Medicare (Wellcare By Health Net) HMO, PPO
| This communication informs participating providers about upcoming educational webinarson how to use the Payspan system. |
July 14, 2023 23-675m, Get Paid Faster: Bill Correctly When Members Have Other Health Coverage | Regulatory | Physicians PPGs Hospitals Ancillary Providers
| Medi-Cal (all counties)
| The communication reminds providers that if a patient has Medi-Cal and other health coverage (OHC), providers can avoid claims delays bybilling OHC as the primary insurance. |
July 17, 2023 23-681m, Improve Quality Metrics While Helping Members Manage Asthma | News & Announcements | Physicians PPGs
| IFP (HMO/PPO) Employer Group (HMO/POS/HSP, PPO, EPO) Medi-Cal (all counties) | This communication helps participating providers improve care for members who have asthma and thereby improve quality metrics. |
July 31, 2023 23-751m, Reminder About Timely Response to Enrollee Appeals and Grievances | Contractual | Physicians PPGs Hospitals Ancillary providers ECM/CS Providers | IFP (HMO/PPO) Employer Group (HMO/POS/HSP, PPO, EPO) Medi-Cal (all counties)
| The communication was developed to remind providers of the California regulations about the appeals and grievances process which includes type of requests, requirements and time frames to respond. |
1 ECM – Enhanced Care Management; CS – Community Supports
2 Medi-Cal (all counties) indicates that the communication applies to Medi-Cal Kern, Los Angeles, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, Stanislaus, and Tulare counties.
Additional information
If you have questions regarding the information contained in this update, contact the Health Net Provider Services Center by email , by phone or through the provider portal.
Line of business | Phone number | Email address |
IFP Ambetter PPO | 844-463-8188 | provider_services@healthnet.com |
IFP Ambetter HMO | 888-926-2164 | provider_services@healthnet.com |
Health Net Employer Group HMO, POS, HSP, PPO, & EPO | 800-641-7761 | provider_services@healthnet.com |
Medicare (Individual & Employer Group) | 800-929-9224 | provider_services@healthnet.com |
Medi-Cal | 800-675-6110 | N/A |
This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, Ancillary providers, Community Supports (CS) Providers, and Enhanced Care Management (ECM) Providers.