Health Net Claims (California Oregon)
Part of Centene Corporation
Summary
Health Net Claims (California Oregon) is a regional health plan, part of Centene Corporation, offering dental, medical, and vision coverage operating in 4 states. Claims route under payer ID 95567, with 15 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Health Net Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
95567Also seen as 00213, 06108, 10385, 22340, 2855, 6514 and 9 more- Also known as
- Centene, Health Net, Qual Medical Colorado, Qual Medical Portland
- Uses CAQH
- YesApplication route: CAQH application only
- Service area
- CA, AZ, OR, WA
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Health Net Claims (California Oregon)?
- The payer ID for Health Net Claims (California Oregon) is 95567. Alternate IDs seen across clearinghouses include 00213, 06108, 10385, 22340.
- How long does Health Net Claims (California Oregon) provider enrollment take?
- Health Net Claims (California Oregon) provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Health Net Claims (California Oregon) require CAQH?
- Yes. Health Net Claims (California Oregon) uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Health Net Claims (California Oregon) require ERA enrollment?
- Yes. Health Net Claims (California Oregon) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Health Net Claims (California Oregon) cover?
- Health Net Claims (California Oregon) operates in CA, AZ, OR, WA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.