Commercial/Marketplace Products New Provider Resources

The materials here and the trainings available online supplement the Plan's operations manuals to assist you in understanding and adhering to policies and procedures in accordance with your Provider Participation Agreement (PPA).

In-person training is also available. Physicians, practitioners and other providers who would prefer in-person training may contact Provider Relations by email to request a training session.

These materials can help you and your staff become familiar with the Plan's line of business/product and include:

• Your Central Hub for Quality Management Program and Resources (PDF)
  Learn about Health Net's multifaceted Quality Management program, including access standards, quality measures and safety reporting, utilization management, wellness and chronic conditions, and more.
• Provider Access Guide: Availity and Health Net Provider Portals + Website (PDF)
  This quick reference guide outlines the tools and resources available on the Availity Essentials and Health Net provider portals, with instructions on how to register for a website account.
• No-Cost Interpreter Services flyer (PDF)
  Find quick-reference contact information to request no-cost phone and onsite medical interpreter services through the Health Net Language Support Line.
• Better Communication, Better Care: Provider Tools to Care for Diverse Populations toolkit (PDF)
  Developed by the Health Industry Collaboration Effort (HICE), this toolkit includes provider tools and resources to care for and interact with diverse populations. HICE is a multidisciplinary team of providers, health plans, associations, and accrediting bodies that work collaboratively to implement and improve regulatory compliance.
• Member Rights and Responsibilities flyer (PDF)
  Outlines members’ rights and responsibilities in relation to the Plan, its physicians and practitioners, and all other health care professionals who provide care for them.
• How-to Guide for Providers and Community Partners (PDF)
  Helps physicians, practitioners and other providers find no-cost or low-cost social programs and services for members using their ZIP Code. It gives details on using the Findhelp platform and how to submit referrals when needed.