Health Net Documentation
Last Updated: 2/18/02
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ACS Documents:
ACS Glossary
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Certified Mail Tracking
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Change Procedure
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CRF Tracking
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HCC COB
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HealthNet Workflow
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HN Disaster Recovery Plan
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Inventory Report
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JUKER Rejects Report
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Life of a Claim
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Mailroom Workflow
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Masks for proposed ACS DCN
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Member Juker Consolidation
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MHN Workflow
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Refund Check Log
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Rescan Request Report
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Health Net California Commercial/Medicare/Oregon Documents:
Ack File Format
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Auto-Adjudicator Specification (Provider)
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CA XML Example
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Change Request Form (Commercial)
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Extract File Layout
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File Naming Convention
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HCFA Input Requirements
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HCFA Keying Instructions
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Mail Room Document
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OR XML Example
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Output Documentation
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UB92 Input Requirements
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UB92 Keying Instructions
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UB04 Keying Instructions
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HCFA HCC Fields Check
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UB HCC Fields Check
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Health Net California Medi-Cal Documents:
Auto-Adjudicator Specification (Provider)
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Change Request Form
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Medi-Cal COB List
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File Reject Requirements
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HCFA Attachments G-J
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HCFA 1500 Input and Output Requirements
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HCFA Keying Instructions
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Image Naming Specifications
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Image Specifications
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Mail Room Document
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Medi-Cal Cap Mail Claims Routing
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Medi-Cal Claim Number Format and Ranges
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Misdirected ABS Commercial and Medicare Claims
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Output Batch Sequencing Requirements
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Output Documentation
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Output Requirements
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Process for Updating Lookup Tables
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Record Grouping Requirements
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Record Layout Image Control File
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Record Layout Member File
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Record Layout Provider File
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Specification Index
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Specification Issues
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State Site Codes
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UB92 Attachments
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UB92 Input and Output Requirements
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UB92 Keying Instructions
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UB92 Patient Relationship to Insured
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Health Net North East Documents:
Auto-Adjudicator Specification (Provider)
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Change Request Form
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HCFA Field Checks
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HCFA Keying Instructions
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MailRoom Procedures
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HN Member Lookup
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No COB Flag/Payer List
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Non-Standard Keying Instructions
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HN Provider Lookup
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UB Field Checks
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UB04 Keying Instructions
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UB92 Keying Instructions
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MHN Documents:
Change Request Form
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Incident Report
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Input/Output Specifications
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Item Name Descriptions
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Mailroom Document
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Rules for processing MHN Forms
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Keying Instructions CCFE
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Keying Instructions HCFA
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Keying Instructions OTRA
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Keying Instructions OTRB
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Keying Instructions OTRC
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Keying Instructions PTS
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Keying Instructions RFRC
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Keying Instructions SOC
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Keying Instructions UB04
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Keying Instructions UB92
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