Medicare AdvantageAdministrativeMedium impact
22-190m It's Easy to Request Authorizations and Submit Claims for Medicare Advantage PPO Members
Health Net·CA·Prior Authorization
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Health Net launched a new Wellcare No Premium Open (PPO) Medicare Advantage plan in Amador and Sutter counties effective January 1, 2022. Providers can access services through Health Net's direct network and should use the provider portal for eligibility verification, prior authorization requests, and claims submission.
Action Required
Immediately: Billing team should access Health Net's provider portal for real-time eligibility verification, prior authorization status, and claims submission for Wellcare No Premium Open PPO members in Amador and Sutter counties. Contact Provider Services Center at 800-929-9224 within 60 days for questions about administrative processes including medical management, prior authorization requests, referrals, and claims submission.