CommercialAdministrativeMedium impact
22-301m How to Help Your Paper Facility Claims Process Faster
Health Net·CA·Reimbursement
We identified it
Jun 20, 2026
Summary
Health Net updated paper facility claim submission requirements for UB-04 forms, including specific alignment rules for Box 1 and completion requirements for Boxes 12-17 based on claim type. COVID-19 related timely filing extensions end January 1, 2022, returning to standard filing timelines.
Action Required
Immediately: Billing team must update paper UB-04 claim submission procedures - left align provider name and address in Box 1, complete boxes 12-15 and 17 for inpatient claims (plus box 16 for post-discharge), complete boxes 14, 15, and 17 for outpatient claims while leaving boxes 12, 13, and 16 blank (except for bill types 012x, 022x, 032x, 034x, 081x, 082x which require boxes 12 and 13). Beginning January 1, 2022: Follow standard filing timelines as COVID-19 extensions have ended.