Health Plans
Milliman estimates that, for an average healthcare plan with 500,000 commercial members, using standard electronic transactions to communicate with providers, as defined in the Health Insurance Portability and Accountability Act of 1996 (HIPAA), could result in annual administrative savings of over $23 million.
» Milliman
Learn more about which health plans use NaviNet.
Why do our users and customers love working with us? Check out our testimonials and case studies to learn more.
Health Plan Solutions
For more than a dozen years, NaviNet has been connecting health plans with physician practices to enable the real-time exchange of patient-related administrative, clinical and financial information through a single, secure Web site. Over those years, the NaviNet Network has grown to include 31 health plans, over 130,000 physician practices, and nearly 900,000 healthcare professionals using NaviNet as a regular part of their workflow.
The type of information exchanged on NaviNet ranges from eligibility and claims status inquiries, to clinical care gap alerts, to e-prescriptions and electronic health record information. And everything in between.
NaviNet’s health plan solutions leverage current systems and workflows to rapidly provide a robust healthcare communications solution that decreases administrative costs, improves provider relations and patient care, enhances product quality and strengthens your ROI – all via a single, secure Web site. Our team of industry experts has decades of experience managing complex applications. Solutions are developed and deployed rapidly for a provider-facing Web environment that has consistently been proven to improve provider service and satisfaction levels.
Learn more about NaviNet solutions for health plans by visiting the pages below, or contact us.
NaviNet Insurer Connect
NaviNet’s multi-payer portal, NaviNet Insurer Connect, provides the foundation for unified patient information management (UPIM). NaviNet Insurer Connect is comprised of solutions to address administrative, financial and clinical transactional needs for health plans, driving workflow efficiencies, enhancing revenue cycles, facilitating advanced clinical quality, and improving provider relations and satisfaction.
NaviNet Mobile Connect
NaviNet Mobile Connect closes the information gap at the point of care with a two-way information flow between doctors, patients, pharmacy benefit managers, pharmacies health plans and other sources. The Mobile Connect care messaging platform delivers critical clinical information to providers at their most impactful moments with patients—in the exam room.
Health Plan Consulting Services
Offering expertise in a variety of healthcare technology service areas, the NaviNet team of consulting specialists is well experienced at providing innovative solutions to complex healthcare challenges. Bringing years of industry knowledge on health plan workflow, system integration, provider relations and clinical technological advancement, NaviNet consultants are ready to provide creative answers that deliver results and satisfaction.