MedicaidAdministrativeMedium impact
25-361 Streamlined Transactions with New Features on the Availity Essential Provider Portal
Health Net·CA·Prior Authorization
Effective date
Apr 21, 2025
We identified it
Jun 20, 2026
Summary
Health Net has partnered with Availity Essentials to provide an optional new provider portal with enhanced features for claims management, prior authorizations, and remittances. New functionalities including claim corrections, enhanced remittance search, and PCP notifications will launch April 21, 2025.
Action Required
By April 21, 2025: Billing team should consider registering with Availity Essentials portal to access new claim correction features and enhanced remittance search capabilities. Organization's administrator must register at Availity Essentials and assign Claim Status roles to users who need to modify/resubmit claims. Current portal access remains unchanged - this is optional.