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.
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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. The NaviNet Network has grown to include more than 30 health plans and nearly 141,000 physician practices that use 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, to electronic health record (EHR) information, to clinical dashboards of patient populations, and patient action reports—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, and strengthens your ROI—all via a single, secure website and delivered through both desktop and mobile channels. Our team of industry experts has decades of experience managing complex applications. Solutions are developed and deployed quickly for a provider-facing web environment that consistently improves provider-health plan 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 comprises solutions to address administrative, financial, and clinical transactional needs for health plans, driving multi-channel workflow efficiencies, enhancing revenue cycles, facilitating advanced clinical quality, and improving provider relations and satisfaction.
NaviNet Care Collaboration
NaviNet's care collaboration solution enables health plans, providers, care coordinators, and healthcare professionals to better manage quality and proactively improve chronic and preventive care across a population. With NaviNet, health plans and providers are able to simplify complex clinical data in the same way they simplified administrative and financial data.
Health Plan Consulting Services
Offering expertise in a variety of healthcare technology service areas, the NaviNet team of consulting specialists is experienced at providing innovative solutions to complex healthcare challenges. Bringing years of industry knowledge on health plan workflow, system integration, provider relations, care management, and clinical technological advancement, NaviNet consultants are ready to provide creative answers that deliver results and satisfaction.