NaviNet Open Foundation consists of a series of layers: a platform, a set of network services, a suite of reimbursement-related and clinical applications, and a set of tools that customers can use to configure and customize the system. NaviNet’s creation of a “smart” next-generation payer-provider healthcare communications network that connects Big Data informatics systems developed by health plans, delivery systems, and software vendors to the heterogeneous provider community enables the sharing of critical real-time intelligence and rapid innovation in response to the quickly changing demands of healthcare reform.
The NaviNet Open Foundation supports all NaviNet Open Solution offerings. It features event-based architecture that, along with complex event processing, allows NaviNet to “listen” for discrete and relevant events across the network and respond in real time with critical information needed by provider users. Static and interactive reports, along with alerts and notifications, are part of the Foundation. NaviNet Open APIs allow integration with third-party systems and applications— this is the hallmark that makes us Open. Health plans may also use the platform for developing their own applications, either using their in-house IT resources or working with NaviNet’s Professional Services organization. Third party developers will also be able to license access to the platform and the NaviNet network for producing applications of interest to providers and consumers.
NaviNet Open Multipayer Portal Applications
NaviNet Open, our flagship next-generation payer-provider communications solution, integrates reimbursement-related and clinical workflows. NaviNet Open supports basic HIPAA transactions such as Eligibility and Benefits, Claims Management, Referrals and Authorizations and more. Unlike conventional payer-provider portals built as extensions to clearinghouse technology, NaviNet Open offers a set of customer-configurable applications that provide rich detail for enhanced transactions. The accurate and complete information for non-standard transactions boosts provider engagement and adoption, enabling true payer-provider collaboration to be achieved.