Health Net provider contacts
Provider-facing contacts for Health Net: provider services, prior authorization, claims, appeals, eligibility and claims portals, EDI payer ID. Every value comes from a public Health Net page or manual, linked next to it, and is rechecked against that source on a schedule.
Last verified Nov 3, 2026
We aggregate public payer sources. Verify with the payer. Numbers can differ by plan, state and line of business.
Provider services
- Provider Services (Marketplace ACA)Marketplace, CAphone1-888-926-2164
Prior authorization
- Hospital Inpatient Notification (24/7)CAphone1-800-995-7890
- Prior Authorization Request (Medi-Cal)Medicaid, CAphone800-421-8578Prior auth requirements grid effective February 15, 2023
- Prior Authorization Request Fax (Medi-Cal)Medicaid, CAfax800-743-1655Prior auth requirements grid effective February 15, 2023
Claims
- Paper Claims (Commercial)Commercial, CAaddressHealth Net Commercial Claims, PO Box 9040, Farmington, MO 63640-9040Claims processing guide dated 2021
- Paper Claims (Medi-Cal CMS-1500)Medicaid, CAaddressHealth Net Medi-Cal Claims, PO Box 9020, Farmington, MO 63640-9020
Appeals
- Commercial Provider Appeals UnitCommercial, CAaddressHealth Net Commercial Provider Appeals Unit, PO Box 9040, Farmington, MO 63640-9040Dispute form rev. 3/21
- Medi-Cal Provider Appeals UnitMedicaid, CAaddressHealth Net Medi-Cal Provider Appeals Unit, PO Box 989881, West Sacramento, CA 95798-9881Dispute form rev. 3/21
Eligibility and claims portals
- ClearinghouseCAtextAvailityAlso lists Change Healthcare (payer ID HNNC) and Ability (MDOnline); guide dated 2021
EDI payer ID
- Payer ID (MDOnline/Ability: employer group MA, HMO, PPO, EPO, POS, Medi-Cal)CAtext95567Claims processing guide dated 2021
- Payer ID (Availity: individual MA HMO, SNP, Individual & Family Plans)CAtext68069Claims processing guide dated 2021
Get alerts when Health Net changes a policy
Prior auth lists, billing rules and coverage changes from Health Net, summarized and sent by email: daily or weekly, your choice, on every plan.