• A
  • |
  • A
  • Text size

Health Net

This information (other than the National Health Insurer Report card results) has been provided to the AMA by Health Net.

Health Net home page

Contracted Fee Schedule
Registration required. After registering, go to Policy and Procedures.

Payment rules
Registration required

Payer-Specific Claim Edits
Registration required. After registering, go to Policy and Procedures.

Medical policies

Multiple Procedure Reduction Logic
Registration required.

Electronic health care transactions

Electronic Data Interchange (EDI) information

  • Eligibility
  • Claims Inquiry
  • Claim Submission
  • Authorization Inquiry (Did not provide)
  • Authorization Submission (Did not provide)
  • Referral requests (Did not provide)
  • Electronic remittance advice and funds transfer

National Health Insurer Report Card
Review the NHIRC
to see how Health Net has stacked up in recent years on a variety of critical metrics.

Health Insurer Financial Information:

Health insurer financials
The AMA has compiled a resource that highlights health insurer SEC filing data since 2006. This resource provides information based on company filings for the seven largest national publicly traded health insurers: Aetna, CIGNA, Coventry, Health Net, Humana, UnitedHealthcare and WellPoint/Anthem.

Health insurer state fines
The AMA has compiled a resource that lists the fines health insurers have incurred in each state and the reasons for the fines. This resource underscores the importance of reporting unfair payer practices.

Health insurer CEO compensation
The AMA has compiled a resource that highlights health insurer SEC filing data, including CEO compensation since 2006. This resource provides information based on company filings for the seven largest national publicly traded health insurers: Aetna, CIGNA, Coventry, Health Net, Humana, UnitedHealthcare and WellPoint/Anthem.

LinkedIn Discussion Group
Join discussions in the AMA Administrative Simplification LinkedIn Group.