NaviNet Health Plan Solutions
NaviNet Sponsor and Enterprise solutions enable health plans to access over 800,000 providers nationally. Our solutions solve real business problems by combining innovative technology with our team’s combined decades of industry experience.
NaviNet Sponsor offers health plans rapid connectivity and a starter set of transactions, including Eligibility and Benefits Inquiry, and Claim Status Inquiry. This solution enables health plans to meet essential provider electronic connectivity needs and add new transactions at their own pace.
The result:
- Low-risk, low-cost implementation
- Ability to meet basic provider self-service requirements
- Reduction in operating costs
- Established foundation for future, more advanced capabilities such as clinical messaging and alert capabilities
NaviNet Enterprise enables health plans to leverage out-of-the-box transactions or develop unique offerings that extend beyond industry standards to create additional value. This is accomplished through a partnership with NaviNet; one in which we develop long-term solutions that support a plan’s strategic initiatives.
The result:
- Ongoing, consultative relationship
- Comprehensive provider integration, and deployment planning and support
- Insightful utilization reporting, and proven marketing and communications campaigns
- Clinical messaging and alert capabilities
- Significant reduction in costs while freeing IT resources to concentrate on core competencies
