NaviNet Insurer Connect
Back to solutions for providersBenefits Administration
Give your office staff secure, real-time access to the most current member eligibility and benefit information from your insurers. Our solutions present increasingly complex benefit information in a straightforward manner, ensuring better patient communications and fewer calls to the insurer.
Learn more- Eligibility & Benefits Inquiry
- Prescription Benefits Inquiry
- Capitation Roster
- Card Swipe
Claims Management
NaviNet Claim Management allows your office to become more self-sufficient by managing all aspects of the claim life cycle online, from submission through adjudication.
Learn more- Professional & Institutional Claim Submission
- Claims Status Inquiry
- Claim Investigation
- Claim Appeal/Adjustment
- Real-Time Claim Adjudication
Authorization & Care Management
Simplify complex and lengthy referral and authorization processes between your office and its insurers. Our solutions allow you to perform inquiries and submissions, receiving instant approval and saving time and money.
Learn more- Referral Status & Precertification Inquiry
- Referral & Precertification Submission
- Real-Time Referral & Precertification Adjudication
- Referral/ Authorization Tracking Management
- Discharge Plan & Treatment Plan Submission
Policy & Schedules
Get important insurer policy information at your fingertips.
Learn more- Clinical Guidelines
- Formulary Lookup
- Medical Policy Inquiry
- Precertification Requirements
Provider & Facility Network Lookup
Enable your office to quickly and easily search for referring and specialist providers in your network.
Learn more- Provider Directory Search