A solution for Payer-Provider Collaboration
Streamline communications across a single, integrated platform that makes working together more efficient. The NaviNet product suite offers a range of solutions for payers and providers so that you can choose the options that are right for you. NaviNet Open, our offering for payers, delivers a comprehensive set of provider portal workflows available to your whole network. Providers have free access to sponsoring health plan workflows, and with our AllPayer Access and Medicare Access, can extend their use to interact with the payers that cover all or most of their patients.
876,000+ user accounts are registered on the NaviNet platform.
NaviNet Open
NaviNet® Open is one of America’s leading payer-provider collaboration platforms—a secure, multi-payer web portal that lets payers and providers exchange vital administrative and clinical information in real-time.
- Improves provider relationships by granting centralized—and real-time—access to information regarding patients’ eligibility and benefits, claims management, authorizations, referrals, and administrative, financial, and clinical information exchange.
- Reduces time spent on complaint mitigation and troubleshooting on both sides—simplifying workflows, minimizing internal resources labor, and reducing friction between your payer organization and providers.
- Minimizes time and money spent on the phone and performing other manual administrative tasks, dramatically increasing operational efficiencies for both parties.
Drug Authorization
Via our long-standing collaboration with CoverMyMeds®, NantHealth delivers NaviNet Drug Authorizations—available for free to every provider registered on the NaviNet Portal. Drug authorizations grants provider offices access to every payer and pharmacy benefit manager while adding another element to the streamlined value of the NaviNet platform.
- Saves time for providers by ensuring that patients get the drugs and pharmacy services they need.
- Offers the clarity, simplicity, and efficiency of having the drug authorization workflow side by side with everything in the NaviNet Open portal: eligibility and benefit inquiries, claims management, claims authorization, referrals, administrative and clinical information delivery, and more.
AllPayer Access
NaviNet AllPayer Access delivers eligibility, benefit, and claim status information for 1,000+ commercial and state Medicaid plans, opening a single door to a world of information that typically consumes significant time to access. Gain all the benefits of NaviNet Open, plus extended access to additional health plans.
- Displays eligibility and benefit information in a consistent and accessible way, facilitating smoother information exchange and accelerated workflows.
- Offers an easy-to-navigate, secure, and cost-effective way for providers to expand access to any health plan they do business with, reducing time spent searching for—or providing—information.
- Provides payer COB teams with an online channel to verify their members’ insurance coverage information with other health plans.
Medicare Access
Broaden the NaviNet umbrella with NaviNet Medicare Access, an add-on that extends eligibility to Medicare, with all of the same one-stop-shop advantages that you’re used to.
- Offers a simple solution for providers that cover Medicare patients.
- Provides users with the same, easy-to-use interface and unparalleled access – without requiring multiple logins.
AllPayer Plus
For providers looking to extend their NaviNet use even further—and reap the greatest benefits—NaviNet AllPayer Plus is the gold standard. Gain access to an additional 1,000+ commercial and state Medicaid plans, plus Medicare.
- Combines the benefits—and ROI—of NaviNet Open, NaviNet AllPayer Access, and NaviNet Medicare Access, into one comprehensive bundle.
- Offers the ultimate solution for providers looking to improve operational efficiency to the highest degree.
- Saves time, money, and frustration for payers and providers alike, while improving the patient insurance experience.
