NaviNet for Payers
Kill the fax. Trade paper trails for real-time document exchange.
NaviNet® DataBridge is a secure, bi-directional digital channel for exchanging critical healthcare documents.
Fax, mail, and email weren’t designed for modern healthcare
Every risk adjustment form, HEDIS record, and care gap document that moves by fax is a delay, a compliance risk, and a break in your audit trail. DataBridge replaces all of that with a secure digital channel between your plan and your network.
Legacy document exchange
- Documents sit in fax queues for hours or days
- No audit trail or delivery confirmation
- Paper-based workflows break care coordination across your network
- Regulatory turnaround times are hard to hit and harder to prove
- Plan staff spend hours on follow-up and reconciliation
Real-time digital document exchange
- Real-time, bi-directional exchange with your contracted providers
- Complete audit trail for every document, ready for review
- Embedded in workflows your network already uses
- HITRUST-certified security and encryption
- Real-time notifications eliminate inbound calls and follow-up
What DataBridge handles today
Any document that used to require fax, mail, or email can be routed, tracked, and acted upon with NaviNet.
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Risk adjustment
Submit and retrieve risk adjustment forms without leaving NaviNet.
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HEDIS & quality
Exchange quality measure documentation with full audit trail.
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Care management
Enroll patients in care management programs digitally.
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Care gap closure
Attach supporting documentation to close care gaps in real time.
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Claim audits
Respond to claim audit requests with secure document upload.
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Prior authorization
Submit prior authorization documentation through a single channel.
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Provider reports
Receive provider performance reports with real-time notifications.
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Any legacy exchange
Replace any form or document that used to require fax, mail, or email.
Why digital document exchange matters
Manual document exchange is one of the most under-measured drags on healthcare operations. DataBridge eliminates the biggest cost drivers.
- Real-time
Document delivery happens in seconds, no fax queue, no mailroom, no follow-up call to confirm receipt.
- 100%
Full audit trail on every document exchange, a structured record, not a paper trail scattered across inboxes.
- HITRUST
CSF certified end-to-end. Meets the compliance bar expected by the largest commercial payers.
Built into the workflows your providers already use
DataBridge isn’t a separate tool, it’s a capability integrated into the NaviNet product providers log into every day.
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Practice Documents
Provider can send practice-level updates, notifications, and requests.
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Patient Documents
Share patient-specific forms, summaries, and care gap reports through a secure digital channel.
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Provider-Initiated Uploads
Providers can securely upload required documents, completely replacing fax and mail.
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Workflow Integration
Documents appear inside NaviNet workflows such as E&B and Claims.
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Real-Time Notifications
Providers are alerted to new requests the moment they arrive and can respond immediately.
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Full Audit Trail
Track every document’s status so nothing is missed, misrouted, or lost in translation.
What real-time document exchange unlocks
- Reduce administrative burden and manual errors
- Accelerate quality program performance and reimbursement
- Meet strict regulatory turnaround times with confidence
- Improve provider satisfaction and day-to-day engagement
- Enhance care coordination and patient outcomes
- Maintain compliance and security with HITRUST certification
- Eliminate lost faxes, missed emails, and manual follow-ups
- Free your team to focus on members and plan operations, not paperwork
Security and integration essentials
- End-to-end encryption for all document transfers
- Role-based access controls at the practice level
- Complete audit logging for every action
- Secure TLS 1.2+ transport
- Embedded inside existing NaviNet workflows
- No new software for provider offices to install
- Payer enablement via standard NaviNet integration
- Real-time notification API for downstream systems
- HITRUST CSF certified
- HIPAA-compliant document handling
- Audit-ready action logs
- Regulatory turnaround time support (CMS, state Medicaid)
Common questions about NaviNet DataBridge
How is DataBridge different from a secure email or fax portal?
Secure email and fax portals are still point-to-point messaging. DataBridge is workflow-integrated, documents land inside the NaviNet applications your contracted providers already use (Eligibility & Benefits, work lists, etc.), with real-time notifications, structured routing, and a complete audit trail. Nothing sits in a separate inbox waiting to be checked.
Is DataBridge HIPAA- and HITRUST-compliant?
Yes. DataBridge is built into NaviNet, which is HITRUST CSF certified. All document exchange is encrypted end-to-end, and every action is logged for audit purposes. It meets the same compliance bar as the largest commercial payers in the country.
What types of documents can we exchange?
Effectively any document that would otherwise move by fax, mail, or email, risk adjustment forms, HEDIS and quality measure documentation, care management enrollments, care gap closure evidence, claim audit responses, prior authorization documentation, and provider performance reports.
Can providers initiate uploads, or is it payer-driven only?
Both. Payers can request documents and providers can proactively upload required materials. The channel is fully bi-directional.
What’s involved in implementation on our side?
The provider-facing portal is already in place, your network doesn’t need to deploy software. On your side, implementation centers on integration to your document and case management systems, configuration of routing rules, and provider data feeds. Specifics depend on your existing infrastructure; happy to walk through it on a call.