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Eligibility Verification

Providers are responsible for verifying eligibility every time a member is seen in the office. PCPs should also verify that a member is assigned to them.

*Please note that as of April 1, 2019, the secure provider portal is only accessible for providers serving Medicare members. We expect to expand service to our commercial providers later in the year.*

Eligibility can be verified through the provider portal, which can be accessed here:

 

Login

If you are a contracted Health Net provider, you can register now. If you are a non-contracted provider, you will be able to register after you submit your first claim. 

Once you have created an account, you can use the Health Net provider portal to: 

  • Verify member eligibility
  • Manage claims
  • Manage authorizations
  • View patient list
  • Login/Register

login/register