NaviNet
Connecting Providers and Health Plans
Overview
NaviNet is a secure, multi-payer web portal that enables providers to exchange vital administrative and clinical information with health plans in real-time. While part of a broader suite of tools, it offers functionality for checking eligibility and benefits, viewing claims, and submitting authorizations and referrals to its network of connected payers.
✨ Key Features
- Multi-Payer Portal
- Eligibility and Benefits Verification
- Authorizations and Referrals
- Claim Status and Management
- Clinical Document Exchange
🎯 Key Differentiators
- Strong relationships with major health plans, particularly Blue Cross plans
- User-friendly portal interface
- Focus on real-time information exchange
Unique Value: Simplifies provider workflows by offering a single, easy-to-use portal to connect and transact with a large network of health plans.
🎯 Use Cases (3)
✅ Best For
- Used by a large percentage of physician offices in the United States.
💡 Check With Vendor
Verify these considerations match your specific requirements:
- Practices needing advanced automation or integration directly within their EHR
🏆 Alternatives
Often considered more user-friendly for basic transactions compared to some other large clearinghouses, though may have less advanced features.
💻 Platforms
🔌 Integrations
🛟 Support Options
- ✓ Email Support
- ✓ Phone Support
- ✓ Dedicated Support (N/A tier)
🔒 Compliance & Security
💰 Pricing
Free tier: Core access is free for providers, sponsored by health plans.
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