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Submit Claims

Health Net Health Plan of Oregon, Inc. and Health Net Life Insurance Company (Health Net) are 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 providers in our national 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.

Oregon and Washington member claims should be submitted to:

Medicare Claims

Health Net Medicare Claims
PO Box 9030
Farmington, MO 63640-9030

Commercial Claims

Health Net Commercial Claims 
PO Box 9040
Farmington, MO 63640-9040

View Claims Details Online

Medicare Advantage Providers Have Access to the Secure Provider Portal 24/7

Physicians, other licensed health professionals, facilities, and ancillary providers contract directly with Health Net for payment of covered services. It is important that providers ensure Health Net has accurate billing information on file.

Please confirm with our Provider Relations department that the following information is current in our records:

  • Provider name (as noted on current W-9 form)
  • National Provider Identifier (NPI)
  • Tax Identification Number (TIN)
  • Taxonomy code
  • Physical location address (as noted on current W-9 form)
  • Billing name and address
  • Email address of billing contact(s)

Call 888-445-8913 for Health Net Medicare Advantage Provider Services

 

*Commercial providers can expect to have access to the Secure Provider Portal in Q3 2019.

 

What can I do in the Provider Portal?

  • Verify member eligibility
  • Submit and check claims
  • Submit and confirm authorizations
  • View detailed patient list

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