Payor Engagement

  • Allows health plans to provide oncologists in their network with immediate pre-authorization for cancer treatment. Payors have visibility at the moment of prescribing and providers can be sure that the treatment they recommend for their patients meet the clinical requirements for reimbursement
  • Improves claim processing efficiency and helps reduce denials and appeals by issuing a “eviti code” when a physician chooses an approved evidence-based clinical pathway, thereby validating appropriate treatment and pre-adjudicating the claim

Open Foundation

  • Enterprise-grade security, identity and access management, reporting, alerts, and messaging capabilities enable seamless communication between providers and health plans
  • Event-based architecture allows NaviNet to “listen” across network events and provide real-time actionable data and clinical insights to providers

Multi-Payer Portal Applications

multi-payer_portal

The user-friendly, multi-payer portal enables the real-time delivery of vital clinical and administrative intelligence to providers so they can quickly and easily communicate across multiple health plans. The multi-payer portal applications are configurable and help to improve health plan efficiency and provider productivity. Applications include:

  • Eligibility and Benefits
  • Claim Status Inquiry
  • Claims Management
  • Referrals and Authorizations
  • Provider Data Management

Value-Based Network Applications

Value-Based Network Apps

These clinically-oriented applications enable health plans and providers to align and transition to value-based care. Value-based applications include:

  • Document Exchange
  • Advanced Referrals

Increase operational efficiency and savings, improve value-based outcomes and boost provider productivity with NaviNet Open.

eviti Connect

  • Allows health plans to provide oncologists in their network with immediate pre-authorization for cancer treatment. Payors have visibility at the moment of prescribing and providers can be sure that the treatment they recommend for their patients meet the clinical requirements for reimbursement
  • Improves claim processing efficiency and helps reduce denials and appeals by issuing a “eviti code” when a physician chooses an approved evidence-based clinical pathway, thereby validating appropriate treatment and pre-adjudicating the claim

To Learn more:

Phone: 1.855.WHY.NANT
Email: info@nanthealth.com
Web: www.nanthealth.com

 

Contact Us


For sales, support and more information:

Telephone: 1.855.WHY.NANT
Email: info@nanthealth.com