NaviNet Insurer Connect | Claims Management
Back to NaviNet Insurer Connect Professional & Institutional Claim Submission
This convenient service offers you the ability to enter claims directly online or to submit claims in batch from your Practice Management software. Both Professional and Institutional Claim types are fully supported and HIPAA compliant. Insurer-specific edits and reporting assure that you can efficiently manage the end-to-end claims process electronically, reducing calls to the insurer, eliminating lost paper claims and accelerating your reimbursement process.
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Claims Status Inquiry
Enables your office to track the disposition of a claim from the time of submission through adjudication, decreasing calls to the insurer.
Back to topClaim Investigation
Enables your office to electronically resubmit a claim for reconsideration if there is updated information and allows you to provide detailed explanations without a telephone call to the insurer. This transaction integrates with insurers’ business rules and can dramatically reduce the time and cost of managing these claims.
Back to topClaim Appeal/Adjustment
Providers can easily initiate an appeal or request for adjustments electronically, enabling a smoother workflow and enhanced tracking for claims requiring special handling.
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NaviNet supports real-time claim* adjudication functionality with partner insurers that support this robust process, enabling your office to submit claims for instant processing. Our fully integrated claims submission tools can facilitate live communication with your insurers and deliver claim-processing results directly to the desktop.
* Available for select health plans
