Health Net has contracted with Capario, Emdeon/WebMD, and MD On-Line to provide claims clearinghouse services for Health Net claim submission. These partners will work with your clearinghouse or vendor to get the claims submitted to Health Net in a timely manner.
|Clearinghouse||Telephone Number||Web Site||Health Net Payer ID|
|CA & OR||AZ|
|Capario (MedAvant)||AZ, CA & OR
|As a result of our partnership with MD On-Line, all payer claims can be submitted electronically via Health Net's Web site, Healthnet.com.|
For successful EDI claim submission, providers/facilities must utilize the electronic reporting made available by their vendor/clearinghouse. There may be several levels of electronic reporting:
Providers may also check the status of paper and electronic claims via our claims status transaction available through Emdeon or online at Healthnet.com. Registration is required.
Providers are encouraged to contact their vendor/clearinghouse to see how these reports can be accessed/viewed. All electronic claims that have been rejected must be corrected and resubmitted. Rejected claims may be resubmitted electronically.
For questions regarding electronic claim submission, please contact Health Net's dedicated EDI line:
California and Oregon: 1-800-977-3568
Arizona, Connecticut, New Jersey, New York: 1-866-334-4638
Health Net offers electronic remittance advice (ERA) and electronic fund transfer (EFT) to reduce:
ERA provides details on multiple claims and helps improve business office workflow by allowing the adjudicated claim information to be automatically posted to accounts receivable systems. Health Net sends an ERA to any provider who registers with an approved clearinghouse. The ERA complies with HIPAA 835 requirements making it consistent with other payers and is acceptable nationwide.
EFT automates the distribution of funds into accounts using automated clearinghouse processing to reconcile accounts receivable, which provides significant savings in check processing fees. Before EFT, providers were required to open the mail, pull the check, enter the data into their system, get the checks to the bank, wait for them to clear, reconcile books, and more. EFT is safe, secure, efficient, and less expensive than paper check payments and collections.
Register with both Health Net and one of our approved clearinghouses. Download Health Net registration forms from below Forms and Brochures.
Health Net sends ERA via Emdeon, Capario (MedAvant) and Healthcare Electronic Remittance Advice Exchange (HERAE). To enroll, please contact the following clearinghouses directly:
To enroll in ERA, complete the ERA Enrollment form and fax it, along with a voided check, to 1-800-677-4147, Attention: EDI Business.
You must be registered for ERA in order to enroll in EFT. Download Health Net registration forms from below Forms and Brochures.
To enroll in EFT, complete and sign the EFT Enrollment form and fax it to 1-800-677-4147, Attention: EDI Business.
ERA Enrollment Form
Print or download pdf
EFT Enrollment Form
Print or download pdf
To provide you with the most accurate plans and information in your area, we need to know your location. Please enter a ZIP code for Arizona, California, Oregon, Washington.
To provide you with the most accurate plans and information in your area, we need to know your location. Please enter a ZIP code for Arizona, California, Oregon, or Washington.