California Health Net Overpayment

Claims for Covered Services - California

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(6 days ago) People also askWhat happens if a Health Net overpayment request is not contested?If the overpayment request is not contested by the provider, and Health Net does not receive a full refund or an agreed-upon satisfactory repayment amount within 45 days from the date of the overpayment notification, a withhold in the amount of the overpayment may be placed on future claim payments.Non-Participating Provider Policies Health Nethealthnet.comWhat happens if a provider overpayment is identified?When a provider overpayment is identified, providers are sent notices of overpayments by the FI or demand-for-payment letters by the auditing organization. These letters also notify the provider of their appeal rights.Overpayments - DHCSdhcs.ca.govDoes Health Net pay for a provider dispute?A provider dispute is processed without charge to the provider; however, Health Net has no obligation to reimburse the provider for any costs incurred during the provider dispute process. Health Net definition, timeline and procedures to resolve a provider dispute.Health Net Provider Dispute Resolution Process Health Nethealthnet.comWho referred a provider overpayment case?Overpayment cases are referred by the Audits and Investigations Division (A&I), other auditing and legal agencies, and the Medi-Cal fiscal intermediaries (FI). When a provider overpayment is identified, providers are sent notices of overpayments by the FI or demand-for-payment letters by the auditing organization.Overpayments - DHCSdhcs.ca.govFeedbackHealth Nethttps://www.healthnet.com/content/healthnet/en_us/Claims Procedures Health NetWEBAll paper Health Net Invoice forms and supporting information must be submitted to:. Email: [email protected]; Address: Health Net – Cal AIM Invoice PO Box 10439 Van Nuys, CA 91410-0439; Fax: (833) 386-1043; Web Portal; Timely Filing …

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