Coverage profile
Work Health Net Claims (California Oregon) across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Health Net Claims (California Oregon).
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Health Net Claims (California Oregon).
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Health Net Claims (California Oregon).
Appeals agent
AI appeals workflowThe Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for Health Net Claims (California Oregon).
Other aliases
Also known as
- 95567
- 00213
- 06108
- 10385
- 22340
- 2855
- 6514
- 954402957
- 95567MA
- ANGQC
- GQLEF
- HNNC
- NTRSH
- QMDCE
- QMDPO
- XHNNC
- Z1378
- Centene
- Health Net
- Qual Medical Colorado
- Qual Medical Portland
- HEALTH NET CALIFORNIA
2027 maternity billing research
When does Health Net Claims (California Oregon) change OB/GYN billing?
CC.PP.016 describes global maternity bundling and prepayment code review. It applies to adopting health plans on their own effective dates and contains no 2027 code-deletion implementation instructions.
- Transition start
- No 2027 transition date stated in cited policy
- Billing start
- No 2027 billing date stated in cited policy
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: Corporate template for medical maternity services; Health Net adoption and effective dates must be verified separately for each California or Oregon product. No dental or vision billing application is established.
CC.PP.016 Reporting the Global Maternity Package. Verify the payer source before claim submission.
Frequently asked questions
Health Net Claims (California Oregon) payer FAQs
How do I check claim status with Health Net Claims (California Oregon)?
Providers check Health Net Claims (California Oregon) via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Health Net Claims (California Oregon) portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Health Net Claims (California Oregon)?
The primary payer ID for Health Net Claims (California Oregon) is 95567. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Health Net Claims (California Oregon)?
The provider portal for Health Net Claims (California Oregon) is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Health Net Claims (California Oregon)?
The 837P and 837I payer ID for Health Net Claims (California Oregon) is 95567 via Stedi.
What is the 835 payer ID for Health Net Claims (California Oregon)?
The 835 payer ID for Health Net Claims (California Oregon) is 95567 via Stedi.
What is the 270 payer ID for Health Net Claims (California Oregon)?
The 270 payer IDs for Health Net Claims (California Oregon) are 95567 via Stedi and 68069 via Availity.
What is the 276 payer ID for Health Net Claims (California Oregon)?
The 276 payer IDs for Health Net Claims (California Oregon) are 95567 via Stedi and 68069 via Availity.
What states does Health Net Claims (California Oregon) operate in?
Health Net Claims (California Oregon) operates in CA and OR.
Routing reference
Health Net Claims (California Oregon) payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Health Net Claims (California Oregon)Source: Substrate payer directory · data last changed |
|---|---|
| Operating states | CA, ORSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 95567Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 95567Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 95567Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 95567Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 68069Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 95567Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 68069Source: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Health Net Claims (California Oregon). Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched records: AMBETTER FROM BUCKEYE COMMUNITY HEALTH PLAN, AMBETTER FROM CELTICARE HEALTH, AMBETTER FROM COORDINATED CARE, Ambetter from Health Net, AMBETTER FROM HEALTH NET, AMBETTER FROM MAGNOLIA HEALTH PLAN, AMBETTER FROM MANAGED HEALTH SERVICES, AMBETTER FROM PEACH STATE HEALTH PLAN, AMBETTER FROM SUNSHINE HEALTH, AMBETTER FROM SUPERIOR HEALTHPLAN, AMBETTER OF ARKANSAS, ASCENSION COMPLETE, BRIDGEWAY HEALTH SOLUTIONS, CALIFORNIA HEALTH AND WELLNESS, Care1st Health Plan Arizona (AHCCS Complete Care), Care1st Health Plan Arizona (RHBA), CELTICARE HEALTH, CENTENE, CENTENE MEDICARE, FIDELIS SECURE LIFE, HEALTH NET MEDICARE ADVANTAGE, MICHIGAN COMPLETE HEALTH (FIDELIS SECURE LIFE), SANDATA, TRILLIUM MEDICARE 2016, WESTERN SKY COMMUNITY CARE. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Health Net Claims (California Oregon). The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.