CommercialAdministrativeHigh impact
22-463 Respond to Requests for Itemized Bills to Ensure Timely Payment
Health Net·CA·Reimbursement
We identified it
Jun 20, 2026
Summary
Health Net now requires hospitals to promptly respond to requests for itemized bills supporting inpatient claims when notified by fax, phone, or mail to avoid payment delays. The policy also establishes pre-payment review processes to ensure correct billing according to CMS guidelines.
Action Required
Immediately: Hospital billing teams must establish procedures to promptly respond to Health Net requests for itemized bills when notified by fax, phone, or mail. Ensure inpatient claims include supporting itemized documentation to avoid payment delays. Contact Health Net Provider Services within 60 days with questions using the appropriate phone number for your line of business.