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Fax the completed form to the Prior Authorization Department at 1-800-743-1655. Check appropriate box. Designate type of request.
All paper Health Net Invoice forms and supporting information must be submitted to: Email: CalAIMCSinvoicesubmission@centene.com. Address: Health Net Cal AIM Invoice. PO Box 10439. Van Nuys, CA 91410-0439. Fax: (833) 386-1043. Web Portal.
To submit a medical prior authorization: Login Here and use the Prescription Drug Prior Authorization or Step Therapy Exception Request Form (No. 61-211) English (PDF).
Toll Free: 1-877-658-0305 (For TTY, contact California Relay by dialing 711 and provide the Member Services number: 1-877-658-0305).
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 Oct 27, 2023
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Providers may submit claims via the Internet. The web site address is .emomed.com. Providers are required to complete the on-line Application for MO HealthNet Internet Access Account. Please reference and click on the Apply for Electronic/Internet System Access link.
MHN Claims PO Box 14621 Lexington, KY 40512-4621 All regions and plans: Page 5 Health Net complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
If a claim is not submitted within 60 calendar days, or the requested information is not returned to Health Net within 60 calendar days, the claim will be denied.

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