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MedicaidAdministrativeMedium impact

24-148m Submission Reminder: Avoid Rejected Paper Claims

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

Summary

HealthNet California updated paper claim submission requirements to prevent rejections. Claims must use specific CMS forms (1500 or 1450) in original red and white colors, 10-12 point Times New Roman font, and cannot be photocopies or downloaded versions.

Action Required

Action needed
Immediately: Billing team must ensure all paper claims use CMS 1500 (02/12) forms for physician/supplier claims or CMS 1450 (UB-04) for hospital claims in original red and white colors only. Update claim preparation procedures to require 10-12 point Times New Roman font with no highlighting, italics, bold text, or staples. Stop using photocopies, black and white forms, or downloaded forms as they will be rejected.