Discover NaviNet®
Provider-Friendly. Payer-Focused.
Experience enhanced collaboration, reduced administrative costs, and optimized workflows. NaviNet enhances payer-provider network engagement with intuitive workflows and quick access to insurance information.
One portal your providers already use every day
NaviNet brings payers and providers together through intuitive, multi-payer workflows, reducing friction on both sides of the network.
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Multi-Payer Provider Access
Providers access workflows from NantHealth’s health plan partners, or subscribe to reach our nationwide network.
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Rich, Interactive Workflows
Payers can configure custom workflows that align with their business requirements and goals.
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Bidirectional Data, Real-Time
Experience modern payer-provider interoperability with timely bidirectional data flow.
The cost of manual workflows is enormous, and recoverable
Industry research quantifies the savings available when payer-provider transactions move from phone and fax to real-time digital workflows.
- $12.8B
Estimated annual savings opportunity for automating the eligibility & benefits workflow.1
- 169M
Phone calls yearly between providers and health plans just to verify claim status.1
- $15.68
Cost of a manual claim status inquiry, versus $2.07 per electronic transaction.1
- Only 28%
Of authorizations are fully electronic today, the rest are costly and manual.1
Everything providers need, in one place
Magnify your brand and keep providers informed
Your NaviNet Plan Central page is unique to your brand. Providers visit this centralized access point to view all available workflows, and you control what appears. Update content anytime, post announcements and alerts, and share network news.
- Branded, payer-controlled landing experience
- Real-time announcements and alerts
- 40% higher adoption than industry average
Exchange critical documents with providers
Support bidirectional exchange of administrative, financial, and clinical information in real-time, including care gaps, fee schedules, and risk adjustment information. Thrive in value-based care by putting critical information at the point of care.
- Bidirectional clinical & administrative exchange
- Care gaps and risk adjustment at the point of care
- HIPAA-compliant document transfer
Simplify the insurance verification process
Deliver membership verification and insurance coverage information to provider offices in real-time, tailored to your organization.
- $12.8B
Estimated annual savings opportunity for automating eligibility & benefits.1
- 37/member
Average number of eligibility & benefit verifications annually.1
Manage the entire lifecycle of a claim, digitally
Providers submit claims directly to payers with the NaviNet Claims Management suite, leveraging clearinghouse partnerships. Automate status, adjustments, attachments, investigations, and appeals.
- $2.3M+
Estimated annual savings potential from fully automating claims management.1
- $25/txn
Additional cost for every claim that requires rework.2
- 169M
Annual provider-to-plan phone calls to verify claim status.1
Exchange instant, HIPAA-compliant authorization requests
Increase provider trust and network relations by shifting authorizations from a costly, time-consuming manual process to real-time digital workflows, with status updates, approvals, and denials in one place.
- Only 28%
Of authorizations are fully electronic today.1
- $3,600+
Health plan savings per 1,000 transactions by shifting to electronic prior authorizations.1
Facilitate informed referral decisions
Enable provider offices to make more informed referral decisions and ensure value-based contract success by providing detailed referral information at the point of care.
- 1 in 3
Patients are referred to a specialist every year.3
- $10M
Average downstream healthcare spend controlled by each primary care physician.4
More than a vendor, a partner invested in your success
NantHealth is committed to being more than a technology vendor. With NaviNet, your organization gains a partner that is best-in-class and proven, simple and reliable, and future-focused, built on 25 years of trusted delivery, nationwide scale, and zero system outages.
Best-in-class, simple, and future-focused
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Best-in-Class & Proven
25 years of trusted delivery, nationwide scale, and zero system outages.
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Simple & Reliable
We don’t overcomplicate, we reduce friction and deliver tools that work seamlessly for providers.
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Future-Focused
Agile, innovative, and aligned with market trends to evolve with your vision.
Eliminate friction. Improve transparency. Accelerate digital transformation.
NaviNet is designed to give providers increased operational efficiency, streamlined communication, and significant savings.
- 40%
Higher provider adoption than the industry average.
- 48
Net Promoter Score, reflecting strong provider satisfaction.
Security is a priority, not an afterthought
NaviNet is HIPAA compliant and HITRUST certified, having met key regulations and industry-leading security standards.
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HIPAA Compliant
Meets all federal requirements for protected health information.
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HITRUST CSF Certified
Independently validated against the highest healthcare security standards.
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Zero System Outages
25 years of trusted, reliable delivery at nationwide scale.
Ready to transform your provider network experience?
Schedule a 20-minute walkthrough of the NaviNet provider experience. We’ll demo real workflows, eligibility, claims, authorizations, and document exchange.
