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Click ‘Get Form’ to open the orthonet humana in the editor.
Begin by filling out the Provider Information section. Enter your name, fax date, and contact details clearly in black ink, ensuring each character is distinct.
Next, move to the Patient Information section. Input the patient's first and last name, Humana Member ID Number, date of birth, and diagnosis code accurately.
In the Request Information section, specify the spinal level(s) involved and indicate whether it is a spinal decompression or fusion procedure. Select the appropriate setting (inpatient or outpatient) and provide anticipated dates of service.
Ensure you attach any required documentation such as MR/CT reports and office notes that support the proposed procedure before finalizing your submission.

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Are OrthoNet and Optum the same?

As used in this policy, terms such as we or our and Company refer to OrthoNet (an Optum company) and its current and future affiliated entities, including Optum parent company UnitedHealth Group.

What is the timely filing limit for OrthoNet?

Unless otherwise stipulated in the providers participating provider contract (with OrthoNet or the carrier, as the case may be), claims must be submitted within 90 days of the date of service.

What is the timely filing limit?

Timely Filing of Claims When Health Net is the secondary payer, we will process claims received within 180 days after the later of the date of service and the date of the physicians receipt of an Explanation of Benefits (EOB) from the primary payer.

What is the timely filing limit for health net claims?

OrthoNet is the leading orthopaedic specialty benefit management company in the United States.

What does OrthoNet do?

OrthoNet, LLC is a leading musculoskeletal management company located in White Plains, NY. They are a provider-based company with ties to leading practitioners in the Amerigroup Community Care service areas.

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