Provider Packet - Medical Documentation Requirements

Required Medical Documentation Content

Use this checklist to ensure you are sending complete medical documentation to Health Net Federal Services, LLC. The elements listed in this document must be included in the medical record excerpt or as separate documentation of the authorized episode of care.

  • Created: Jul 31, 2014
  • Modified: Oct 31, 2017
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Medical Documentation Fax Cover Sheet

Health Net Federal Services includes a bar-coded fax cover sheet with each provider notification packet issued to the initial servicing provider. This generic fax cover sheet should be used by providers who do not have access to the bar-coded fax cover sheet.

  • Created: Oct 28, 2016
  • Modified: Mar 7, 2017
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Audiology

Medical documentation requirements for audiology.

  • Created: Mar 6, 2017
  • Modified: Mar 6, 2017
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Blind/Low Vision Rehabilitation

Medical documentation requirements for blind/low vision rehabilitation. Please review, complete and return the documents listed in this document.

  • Created: Jul 31, 2014
  • Modified: Mar 7, 2017
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Gastroenterology

Medical documentation requirements for gastroenterology procedures.

  • Created: Jul 31, 2014
  • Modified: Mar 7, 2017
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Inpatient Admissions

Medical documentation requirements for inpatient admissions.

  • Created: Aug 1, 2014
  • Modified: Mar 7, 2017
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Mental Health

Medical documentation requirements for mental health, including psychotherapy notes, prescriptions, counseling sessions, and treatment plans.

  • Created: Aug 1, 2014
  • Modified: Mar 7, 2017
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Oncology

Medical documentation requirements for oncology, including radiation therapy, care recommendations, and documentation of dose adjustments.

  • Created: Aug 1, 2014
  • Modified: Mar 7, 2017
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Pathology

Medical documentation requirements for pathology.

  • Created: Mar 6, 2017
  • Modified: Mar 6, 2017
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Radiology

Medical documentation requirements for radiology, including requirements for films, reports and results.

  • Created: Aug 1, 2014
  • Modified: Mar 7, 2017
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Surgery (applies to Patient-Centered Community Care only)

Medical documentation requirements for surgery performed under Patient-Centered Community Care.

  • Created: Aug 1, 2014
  • Modified: Mar 7, 2017
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Veterans Crisis Support

Support for your patients who are U.S. Veterans:

  • 1-800-273-8255 Press 1
  • Confidential chat at VeteransCrisisLine.net or text to 838255

Because one small act can make a difference.