Medicare AdvantageReimbursementMedium impact
20-330 Access 2020 MIPS Payment Adjustment Data Files Online
Health Net·CA·Reimbursement
We identified it
Jun 20, 2026
Summary
Health Net has updated its 2020 MIPS payment adjustment data files for participating physician groups. PPGs must access the new data file online and apply the correct MIPS adjustment percentages when billing for Medicare Advantage services provided by non-contracting MIPS-eligible clinicians.
Action Required
Immediately: Billing team must access the updated 2020 MIPS payment adjustment data file at provider.healthnet.com under Working with Health Net > Regulatory > Merit-based Incentive Payment System Program. Match clinician NPI/TIN combinations to the data file and apply appropriate MIPS adjustment percentages to Medicare Advantage claims for non-contracting providers. Document chosen calculation approach (Approach 1 or 2) in billing policies and procedures. Apply adjustments either at time of payment or as retroactive adjustments while meeting prompt payment requirements.