Health Net
Also covers / subsidiaries: Health Net of California, HN
Core Payer & Clearinghouse Profile
Electronic Payer ID
95567
Covers Health Net of CA/OR commercial lines and Medi-Cal, but IDs vary by plan, state, and line of business — verify on the card.
Timely Filing Limit (TFL)
120 calendar days after date of service (or per participation agreement)
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
Availity (primary), Ability
Provider Services
800-641-7761
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.healthnet.com/
Centene subsidiary offering commercial, Medi-Cal, Medicare Advantage, and 'Ambetter from Health Net.' Payer IDs and addresses vary by state/plan.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Health Net.
Resolution Tools for Health Net Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
Tired of Chasing Health Net Denials & Delayed Payments?
Aethera's billing specialists work Health Net every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.