Back to dashboard
MedicaidAdministrativeMedium impact

24-942m How to Make Sure Your Claims Aren't Rejected

Health Net·CA·Reimbursement
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Health Net has updated guidelines for claim submission to reduce rejections, emphasizing EDI submission through Availity and Ability clearinghouses. For paper claims, strict formatting requirements must be followed including use of CMS 1500/1450 forms in original red and white colors with specific fonts.

Action Required

Action needed
Immediately: Billing team should transition to EDI claim submission using Availity (Payer ID 68069) or Ability (Payer ID 95567) clearinghouses for improved efficiency. For any paper claims, ensure use of CMS 1500 or CMS 1450 forms in original Flint OCR Red J6983 ink with 10-12 point Times New Roman font only. Contact 800-225-2573 ext. 6075525 for EDI setup assistance.

Related policy hubs