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This document outlines the EDI requirements for the submission of health care claims to Health Net, specifying data content and compliance with HIPAA guidelines.
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Start by obtaining the HEALTH NET, INC. COMPANION GUIDE document.
02
Review the introduction section to understand the purpose and scope of the guide.
03
Familiarize yourself with the terminology used in the guide by referring to the glossary.
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Follow the outlined instructions step-by-step to fill out the required fields correctly.
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Who needs HEALTH NET, INC. COMPANION GUIDE?

01
Healthcare providers submitting claims to Health Net, Inc.
02
Billing personnel responsible for processing claims.
03
Administrative staff involved in healthcare documentation.
04
Auditors reviewing healthcare claims for compliance.
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Health Net of Arizona, Inc. Available for small businesses in Maricopa, Pima and Pinal counties. HSA-compatible plans offer advantages of coverage with the tax-savings potential of a health savings account.
Health Net is the only Medi-Cal plan in Los Angeles and Sacramento counties that offers both medical and dental coverage.
Questions? Contact Member Services toll free at 1-800-675-6110 (TTY: 711), 24 hours a day, 7 days a week.
Health Net believes every person deserves a safety net for their health – regardless of age, income, employment status, or current state of health. We provide diverse health care services for Oregonians. And, we have health plans to meet your needs that include: Business Groups.
In July 2009, UnitedHealth Group bought Health Net's northeastern licensed subsidiaries for $510 million, and its Medicare and Medicaid businesses for $60 million.

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The HEALTH NET, INC. COMPANION GUIDE is a set of instructions and standards that provides detailed information on how to exchange healthcare data electronically with Health Net, Inc.
Healthcare providers, billing entities, and business associates that conduct electronic transactions with Health Net, Inc. are required to adhere to the guidelines set forth in the HEALTH NET, INC. COMPANION GUIDE.
To fill out the HEALTH NET, INC. COMPANION GUIDE, users should follow the structured format and coding guidelines outlined in the document. It includes providing required fields, using specified data formats, and adhering to the electronic transaction protocols detailed in the guide.
The purpose of the HEALTH NET, INC. COMPANION GUIDE is to standardize electronic data interchange (EDI) processes, ensuring that electronic submissions are compliant, accurate, and efficient for healthcare transactions.
The HEALTH NET, INC. COMPANION GUIDE requires reporting of patient information, claim data, provider details, billing codes, and any other relevant healthcare transaction data necessary for proper processing and reimbursement.
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