NaviNet Insurer Connect | Benefits Administration

Eligibility & Benefits Inquiry puts the most current and accurate eligibility and benefit information at your fingertips. Avoid time-consuming calls to your insurers by connecting with them in real time, safely and securely online. NaviNet strives to make your user experience as efficient and informative as possible by minimizing key strokes and ensuring that complex benefit information is presented clearly, enabling you to translate and communicate effectively with your patients

Prescription Benefits Inquiry gives you access to the most current plan formulary information you need to make informed prescribing decisions and drive down the cost of patient medication. You will have access to plan preferred, brand and generic drug lists, dosage information and copayment amounts, all of which can be accessed in real time.

Help manage your capitation payments from insurers using Capitation Roster. Capitation Roster reports provide your office with patient lists per physician and may include eligibility, benefit and capitated rate information. Capitation Rosters will be available from insurers in inquiry or report download form.

The health insurance card swipe interface is the most accurate and efficient way in which a provider office can identify a patient for initiating NaviNet transactions. With less direct data entry and improved accuracy, providers will save time and money associated with costly keying errors.