Health Plans
NaviNet easily works with our legacy systems and in no time gives providers instant access to the information they need
Imagine being part of a family of leading health plans whose provider networks can access patient and practice administrative, clinical and financial information through a single web site in real time. For health plans, NaviNet’s solutions leverage current systems and workflows to rapidly provide a robust healthcare communications solution that decreases administrative costs, improves provider relations and patient care, enhances product quality and strengthens your ROI – all via a single, secure Web site. Our team of industry experts has more than two decades of experience managing complex legacy applications. Solutions are developed and deployed rapidly for a provider-facing Web environment that not only maintains your brand presence but has consistently been proven to improve provider service and satisfaction levels.
NaviNet Health Plan Solutions Using NaviNet Health Plan Solutions, health plans are able to give their providers access to industry-leading administrative, financial and clinical solutions that reduce costs and improve quality. Learn more | NaviNet Platform The NaviNet Platform allows health plans to quickly accrue value by deploying NaviNet Solutions across a national network of providers. Learn more |
NaviNet Software as a Service Our Software as a Service approach delivers high availability, scalability and a reliable user experience tailored to meet the diverse needs of the healthcare community. Learn more | NaviNet Integration Services NaviNet offers a robust suite of Integration Services to meet the individual needs of each customer. Based on health plan requirements, we will recommend the right combination of connectivity, communication protocol and message formats to optimize system interoperability. Learn more |
NaviNet Network Support NaviNet Provider Network Support offers a set of assets that lets you communicate and remain intimately connected to your Provider Network, and supply guidance and assistance as needed. Learn more | NaviNet Account Services NaviNet Account Services guide the ongoing relationship between NaviNet and health plans to ensure value realization and customer satisfaction. Learn more |
1. How can NaviNet improve the way I work with providers?
NaviNet helps health plans play a lead role in partnering with their providers to improve healthcare efficiency and quality—from streamlining claims administration to improving patient care. As part of the NaviNet network, you have a secure, real-time link to America’s largest online community of providers—more than 750,000 and growing—together with 98 million patients. Providers can access your health plan and patient information in a provider-facing Web environment proven to improve provider service and satisfaction. NaviNet keeps you closely connected with your providers through an online network they know and trust, making it easy to share your knowledge, help them operate more efficiently, introduce new business processes and strengthen relationships.
NaviNet Network Support: Network Communications
NaviNet Platform: Secure Communications
2. How can NaviNet improve the quality of provider care?
NaviNet specializes in delivering the solutions and knowledge you need so that you can support your providers with the tools and knowledge they need. Through NaviNet, you give your providers real-time, online access to the industry’s leading administrative, financial and clinical solutions—all rooted in a deep understanding of how provider offices work. Health plans are a valuable source of clinical information. NaviNet makes it easy for you to share this information with your providers at the time and place it is most useful—while your members are with them. NaviNet solutions also streamline the financial and administrative aspects of healthcare, including benefit eligibility and claims payment, which frees your providers to focus on their patients.
NaviNet Health Plan Solutions: Benefits Administration
NaviNet Health Plan Solutions: Claims Management
NaviNet Health Plan Solutions: Payment Management
NaviNet Health Plan Solutions: Clinical Messaging
NaviNet Health Plan Solutions: Health Record Exchange
3. How can NaviNet lower my operational costs?
NaviNet’s online network and family of solutions deliver bottom-line savings through more efficient, integrated operations. NaviNet solutions leverage your existing systems and workflows to decrease administrative costs, improve provider relations, enhance product quality and improve patient care. By providing more timely, complete and accurate information to your providers via NaviNet, you reduce costly, time-consuming clinical phone calls and increase provider satisfaction. NaviNet solutions seamlessly integrate with your existing technologies, and you can deploy them quickly and easily across a national network of providers. NaviNet health plan customers are able to leverage the existing NaviNet network to drive a positive return on investment very quickly.
NaviNet Platform: Secure Communications
NaviNet Integration Services: Protocols
NaviNet Integration Services: Message Formats
NaviNet Network Support: Network Communications
4. How can NaviNet help me reach more patients?
NaviNet connects you to a national online network of more than 700,000 providers and their patients—with more joining our real-time communications network every day. NaviNet’s proven solutions, industry-leading network and user-friendly online support are major assets in attracting and serving larger employer groups. Being part of NaviNet quickly and clearly positions your health plans as part of the solution to today’s healthcare challenges. As more individuals have a choice of health insurers, the powerful influence of satisfied NaviNet providers can help you retain and grow your membership base.
NaviNet Network Support: Operational Support
NaviNet Platform: Registration and Enrollment
NaviNet Platform: Secure Communications
NaviNet Health Plan Solutions: Member/ Provider Communications
5. How can I become part of NaviNet?
Our NaviNet Account Services begin with an assigned Account Manager and go on to include service delivery oversight and collaborative planning to realize the highest value for your health plan and provider network.
6. How can I integrate my existing systems with NaviNet?
Seamlessly, securely and simply—across a national network of providers. Based on your health plan requirements and relationships, NaviNet’s robust suite of Integration Services is tailored to meet your needs for interacting with existing systems. We bring more than a decade of practical insight and hands-on expertise to recommending the right combination of connectivity, communication protocol and message formats to optimize your system interoperability. You and your providers can go live with your NaviNet solutions quickly—and begin leveraging the benefits right away.
NaviNet Integration Services: Connectivity
NaviNet Integration Services: Protocols
NaviNet Integration Services: Message Formats