Health Net Medi-Cal (California)

Medicaid

Also covers: Health Net Community Solutions, Centene

Payer ID

Varies — confirm via portal / clearinghouse

Health Net (Centene) routes Medi-Cal claims via Availity/Ability; a single confirmed EDI payer ID was not verified. (California)

Timely Filing Limit (TFL)

Varies — confirm via portal / clearinghouse

Appeal Window

Varies — confirm via portal / clearinghouse

Clearinghouse

Availity (also accepts Ability)

Provider Services

800-675-6110

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

Health Net Medi-Cal, ATTN: Provider Paper Claims, P.O. Box 9020, Farmington, MO 63640-9020 (verify — multiple Centene boxes by product)

Provider Portal

https://www.healthnet.com/content/healthnet/en_us/providers.html

California Medi-Cal managed-care plan (Centene); also administers CalViva Health in Fresno/Kings/Madera.

Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.

Stop chasing Health Net Medi-Cal (California) denials and TFLs

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