CommercialAdministrativeLow impact
24-647m Enhanced ACE_78A and ACE_78B Reports Incorporate Supplemental Adjustment Totals
Health Net·CA·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net enhanced their ACE_78A and ACE_78B reports to include Supplemental Adjustments (like Professional Performance Program, Shared Risk Funding, and Utilization Management) alongside capitation dollars. Participating physician groups will now receive these supplemental financial totals monthly for current month, retroactive months, and year-to-date.
Action Required
Immediately: Finance and billing teams should review the enhanced ACE_78A and ACE_78B reports when they arrive monthly to understand the new supplemental adjustment totals. Contact Health Net Provider Services if clarification is needed on the supplemental codes appearing in reports.