24-1185 Streamline Your Provider Portal Operations with Availity Essentials
Date: 11/08/24
Register for an account to discover how Availity EssentialsTM can make your transactions easier
Starting January 20, 2025, Health Net will partner with Availity Essentials to offer select secure provider portal services. With Availity Essentials, you can easily verify member eligibility and benefits, submit and track claims, submit authorizations, and access specific payer resources.
If you are already using Availity Essentials for other health plans, we recommend you utilize it for your Health Net transactions as well. Please note that some transactions will still be managed through the current Health Net secure provider portal. You will receive additional information on these functions in future communications.
If you choose not to switch to Availity Essentials for the above-mentioned portal transactions, you can still access the existing Health Net secure provider portal, just like you do today.
I am not registered with Availity Essentials
If you do not currently have an Availity Essentials account, you must create an account to access certain functions on the Availity Essentials provider portal. Your provider organization’s designated Availity administrator is the person responsible for registering your organization in Availity Essentials and managing user accounts. This person should have legal authority to sign agreements for your organization.
If you… | Then… |
|---|---|
Are the administrator |
Once you have registered for an account, you will receive email communications from Availity Essentials about upcoming training webinars |
Are not the administrator | Your designated Availity administrator will determine who needs access to Availity Essentials on behalf of your organization and will add and manage user accounts. |
Are not sure who is the administrator | Share this information with your manager to help determine who will be the designated Availity administrator for your organization |
I’m already registered with Availity Essentials
If you already have an Availity Essentials account, log in using your existing credentials. Starting January 20, 2025, you can use the Availity Essentials provider portal to verify Health Net member eligibility and benefits, submit and track claims, submit authorizations, and access specific payer resources.
Expect to receive future communications
We will notify you of updates about the Availity Essentials provider portal and provide additional details on portal functionalities, as needed.
To receive emails on webinar trainings, you will need to create an account with Availity Essentials first. If you already have an Availity Essentials account, you will receive email communications from Availity with instructions on how to register for webinar trainings.
Additional information
If you need assistance with your Availity Essentials registration, contact Availity Client Services at 800-282-4548, Monday through Friday, 5 a.m. – 5 p.m. PT.
If you have questions regarding the information contained in this update, contact the Provider Services Center by email, by phone or through the Health Net provider portal.
Line of business | Phone number | Email address |
|---|---|---|
Ambetter from Health Net IFP Ambetter PPO | ||
Ambetter HMO | ||
Health Net Employer Group HMO, POS, & PPO | ||
Medicare (Individual & Employer Group) (Wellcare By Health Net) | ||
Medi-Cal (including CS and ECM providers) | N/A | |
Behavioral Health providers | N/A |
This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, Ancillary Providers, Community Supports (CS) Providers, Enhanced Care Management (ECM) Providers, and Behavioral Health Providers.
For Medi-Cal, this information applies to Amador, Calaveras, Inyo, Los Angeles, Mono, Sacramento, San Joaquin, Stanislaus, Tulare and Tuolumne counties.