Get HealthNet Medicare Advantage Member Claim Form 2015-2024

30 business days for PPO, EPO and Flex Net plans. 45 business days for Medi-Cal plans.

30 business days for PPO, EPO and Flex Net plans. 45 business days for Medi-Cal plans.

If you are asked to pay more for healthcare than you are supposed to based on your Medicare coverage, you are eligible for Medicare reimbursement. Doctors, providers and facilities also receive a form of Medicare reimbursement when they are paid by Medicare for approved services or items they provide.

Health Net requires that all facility claims be submitted electronically via an 837 Institutional transaction to payer ID 38309 or via paper on a UB-04 claim form.

All paper Health Net Invoice forms and supporting information must be submitted to: Email: CalAIM_CS_invoicesubmission@centene.com. Address: Health Net – Cal AIM Invoice. PO Box 10439. Van Nuys, CA 91410-0439. Fax: (833) 386-1043. Web Portal.

Payer IDs for claim submissions: Line of businessHEALTH NET PAYER ID CA & OREmployer group MA HMO, HMO, PPO, EPO, Point of Service (POS), Medi-Cal (including CalViva Health), Cal MediConnect, Centene Corporation Employee Self-Insured PPO Plan955671 more row

All paper Health Net Invoice forms and supporting information must be submitted to: Email: CalAIM_CS_invoicesubmission@centene.com. Address: Health Net – Cal AIM Invoice. PO Box 10439. Van Nuys, CA 91410-0439. Fax: (833) 386-1043. Web Portal.

Your group number can be found on your invoice and will either be: 6 characters long (containing numbers and possibly letters), or. 9 digits long (all numbers - please include leading zeros)