Health Net Provider Credentialing Services

Health Net is a global health services corporation committed to assisting people in improving their health, well-being, and peacefulness. Health Net employs 74,000 people worldwide to support more than 100 million consumers. Our dedicated team within Health Net’s international business reflects the needs of African intergovernmental organizations (IGOs), nongovernmental organizations (NGOs), and businesses. We have over 60 years of expertise planning, executing, and managing multinational group health insurance and employee benefit plans for both internationally and domestically recruited employees.

How Our Experts Are Committed to Get You Credentialed!

During the credentialing process, we will examine your educational background, career experience, certifications, and registration to practise in a healthcare sector. We will track your progress throughout the credentialing process to determine your education, training, credentials, and registration to practice in a health care setting. We will check all of your documentation to guarantee that you are certified by one of the world’s most prestigious healthcare providers. We are committed to long-term growth as a team. We will assist you in receiving the services you require. This is how we express our gratitude to our clients and our commitment to providing exceptional customer service.

What Benefits you will get by working with Us

The following services are provided by House of Outsourcing to our valuables providers on priority basis.

  1. To help you through the paperwork, we’ve assembled a team of professionals
  2. Savings so you and your team can focus on what you do best: caring for your patients
  3. Within 24 hours, you will receive an update on your credentialing progress
  4. Let us handle the paperwork so you don’t have to
  5. Assistance with panel closure appeals
  6. Ameritas credentialing team

How to Join a Health Net Medical Network?

Pre-Application

We’ll need some information from you before we start the application process to confirm that you meet the minimal eligibility standards for credentialing. Select the credentialing option, and someone will assist you. If you meet the basic criteria for credentialing, you will often be notified during this conversation. If you are a facility or an auxiliary provider, we will need more information from you than what is required on the Provider Information Form. Select the credentialing option, and the individual will notify you of the following steps in the application process.

We will submit your credentialing application

If you fulfil the basic requirements for credentialing, you will receive an email with a registration packet and all of the information you need to get started. If the application information is already available on the Council on Affordable Quality Healthcare® (CAQH) or the One Health port/Med versant® websites, we will access it electronically with your permission to obtain the majority of the data we require. If your state requires it, we will accept a state application that you fill out, sign, and return to us along with the relevant paperwork.

Depending on which method you choose to apply, please complete the steps below

Online Application

  • CAQH
  • One health-Port/Med Versant
  • State Application

CAQH

  • Allow Health Net access to your data
  • Check the data profile for any updates
  • Our provider directories will be improved to include clinicians that have self-identified as experienced and interested in care for LGBTQ+ patients
  • Check that the profile has one of the following statuses: Complete the first profile or re-attestation

One Health-Port/Med Versant

  • Check the data profile for any updates
  • Check to see if it has been attested within the last 100 days

State Application

  • Within 100 days, ensure that all appropriate fields have been completed and signed
  • You can print the application directly from your computer
  • Send it to Health Net with the following attachments

Information needed for the application

We need that you submit a full application form with the necessary information, regardless of how you apply

Requirements to be furnished

  1. A state medical license or an authorized professional license is required.
  2. Certificate from the Drug Enforcement Administration (DEA)
  3. Certificate for Controlled Dangerous Substances (CDS)
  4. Clinical privileges at Health Net-affiliated hospitals
  5. Status of board certification
  6. Education and training Professional experience
  7. Activities prior to sanctioning
  8. History of malpractice claims
  9. Sufficient malpractice insurance

Details

  1. Unrestricted validity
  2. In collaboration with the appropriate licensing agency
  3. Each practicing state needs one
  4. Must be a member of the medical staff in good standing and meet the necessary state and medical specialty standards
  5. The amount of professional liability coverage will vary depending on market standards and medical specialty
  6. Include relevant training in the specialty for which you are applying, as required by applicable regulatory organizations

Other Information

  • IMPORTANT: If you do not have a DEA or CDS certificate, please complete the DEA certificate.
  • Include an explanation for any gaps in employment that are longer than six months.
  • On the application, penalties information must be disclosed.

Keeping you updated during the registration process

As soon as we receive the application material, we will begin the credentialing process. This typically takes 45 to 60 days to finish. We will send emails to the following addresses at this time:

  1. Confirm that your application has been received.
  2. Request any missing documents or application information. If we do not get the missing information, we will notify you through email that your application has been closed.
  3. Keep you informed of the status of your application in our credentialing verification process, including any delays that may cause the process to take longer than the average 45- to 60-day turnaround time.
  4. Provided the following that you have been accepted and credentialed as a network-participating provider with your effective date, or inform you that you have not been approved.

If you are authorized, your provider information will be added to our directories and claim systems within 10 business days.

Re-Credentialing

When you need to be re-credentialed, Health Net will send you an email asking you to confirm that your CAQH information has been updated and to re-sign it. You will receive up to three email reminders. If you do not log into CAQH to validate and sign your information, you will be dropped from the Health Net network.

Health Net Credentialing Phone number

If you want to find out where your application is within the process: Call 00 1 800-552-3971.

Health Net Enrollment Application

You will be directed to apply online using all of your established credentials. Every entity you enter will be verified and cross-checked. It contains a number of identifying pre-requisite alternatives for marking and proving your credibility. In this manner, they will verify all of your information and contact you on a regular basis about your ongoing operations and progress.

https://www.healthnet.com/content/healthnet/en_us/members/forms-brochures.html

Health Net Enrollment Email

If you wants to find out where your application is within the process: Email Pharmacym@bmchp.org. Include your full name and Taxpayer Identification Number (TIN).