Health Savings Account
Provider Type
- Physicians
- Hospitals
- Ancillary
Participating providers rendering services to a Health Net member using a health savings account (HSA) should not collect deductibles, copayments or coinsurance at the time of service. Providers should bill Health Net first.
The following HSA claims processing procedures are in place to ensure proper reimbursement:
- Providers submit claims to Health Net within 120 calendar days from the date the services were rendered
- Providers must bill Health Net first for the care provided
- Member responsibility is determined through the claim adjudication process under the terms of the medical plan
- Upon receipt of the provider claim, Health Net determines the member's financial responsibility and communicates this to the provider through the Remittance Advice (RA)
- The member receives the same information given to the provider in an Explanation of Benefits (EOB)
- Members may only be billed after the provider receives an RA
- Collecting any payments owed by the member after the provider receives an RA ensures accurate collection and prevents future refunds due to excess money collected
- Members may pay by Wells Fargo Visa® debit card, credit card, check, or cash
Providers may not collect more than the contracting rate for services provided, regardless of the member's outstanding financial obligation.