Claims and Billing

Health Net is committed to providing our participating providers with the best tools possible to support their administrative needs. Our electronic transactions capabilities will speed up the processing and payment of your claims.

Submitting Claims

Health Net Health Plan of Oregon, LLC (Health Net) is working hard to make claims procedures easier for providers. Health Net's Electronic Data Interchange (EDI) solutions make it easy for more than 125,000 in our national provider network to submit claims electronically. Whether online, through your practice management system, vendor or direct through a data feed, EDI ensures that your claims get submitted quickly.


PaySpan

Health Net and PaySpan are in partnership to provide an innovative web based solution for Electronic Funds Transfers (EFT’s) and Electronic Remittance Advices (ERA’s).


Secure Web Portal

Partial list of secure website functions include verify member eligibility, check/submit claims and submit/confirm authorizations.


EDI

Electronic Transactions (EDI) support for HIPAA transactions is provided for the health plan by Centene Corporation. Centene is currently receiving professional, institutional, and encounter transactions electronically, as well as generating an electronic remittance advice/explanation of payment (ERA/EOP). To conduct other HIPAA transactions not listed, please contact our EDI department at edi.support@healthnet.com.


Approved Vendors List