26-1023 Notify Health Net of Ownership, Tax Identification Number and Provider Information Changes

IMMEDIATELY: Establish a process to notify Health Net in writing within 30 days of any provider information changes. (1) For ownership, TIN, NPI, business name, site addition, or site closure changes: Billing team must email Health Net's Contracting Department with written notification and required regulatory approval documentation. (2) For address, phone number, or demographic changes only: Billing team must contact the Provider Engagement representative or call Community Health Plan of Imperial Valley at 833-236-4141. Update all billing workflows to require notification of these changes before submitting claims. Audit current provider records to identify any unreported changes. Communicate this requirement to all practice owners and management. Failure to notify Health Net will result in claim denials, out-of-network processing, and payment delays.