The View Claims Details Online section of the site contains related features as well as information about patient history, co-payments, physicians of record, plan summaries and more. To view claim status by member, claim number, date of service or provider Tax ID, simply log in and follow the prompts within the Claims Details section. Each claim summary includes the claim number, date of claim, patient ID, patient, name, billed amount, paid amount, claim status, and a link to HIPAA Status codes and other details.
To access this information, register now. All you need is your tax ID or Social Security number, license number, and relevant personal and/or organization information. Most individual physicians may automatically register online and can log in to begin working on a case within minutes. Other providers may log in once they receive email verification, generally within two business days.
Health Net is working hard to make claims procedures easier for providers, both on- and off-line. With our on-line information about claims procedures, we've put an end to heavy manuals to page through. You can now get what you need without thumbing through volumes. Here's where you'll find claims information for providers in all of Health Net's service areas.
Claim Edits Procedures
Health Net has a contractual relationship with iHealth Technologies Inc. (iHT) to provide a technology solution for professional claim edit policy management. Using iHT's services, Health Net is provided the ability to apply advanced contextual processing for application of our edit logic.
The process is as follows:
iHT also provides management support services including edit policy advisory services. The iHT Medical Policy team conducts ongoing research into payment policy sources, including, but not limited to, CMS, AMA, and specialty academies to provide Health Net with the necessary information to make informed decisions to establish edit policy
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.