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NaviNet Open

Name: NaviNet Open
Rating: 4.5 (2 reviews)

By NantHealth

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Highlights : About NaviNet Open

Document Exchange

Claims Management

Authorization

In-Patient Management

About NaviNet Open

NaviNet Open is a leading payer-provider collaboration platform in America that allows healthcare providers and payer networks and offices to communicate and collaborate with each other in real time. The platform improves how information related to administrative, clinical, and financial processes flows between healthcare providers and payers; maximizing reimbursement opportunities, eliminating manual data and document exchanges, and making the delivery of patient care more valuable. NaviNet Open enables healthcare providers to easily send requests to payers so they can get authorization for accessing essential information about the health plans of their patients, permitting them to verify if patients are really enrolled in health insurance plans and eligible and what specific services and procedures are covered by their plans. NaviNet Open, furthermore, permits healthcare providers to track the statuses of the insurance claims they are submitting to payers. In case there are issues and corrections that need to be addressed, payers can deliver all the necessary details to providers; streamlining claims management processes.

Specifications

Business Size

Small

Customization

Yes

Deployments

Cloud, Open API

Language Support

English

Platforms

Product Details

Features

Document Exchange

Authorization

Claims Status Inquiry

Referrals

Claims Management

Eligibility and Benefits

In-Patient Management

Medical Billing

Out-Patient Management

Benifits

Enhances Payer-Provider Collaboration Through Electronic Information Exchange

NaviNet Open makes it possible for healthcare providers and payers to exchange real-time administrative, clinical, and financial information and documents with each other electronically. Because of this, collaboration is enhanced between the payer and provider networks and offices. Payers can smoothly communicate with their provider networks and provide all the information related to healthcare plans the latter need such as insurance eligibility, benefits, and coverage, and insurance claim status. As providers access information in real time, they will be able to enhance how they deliver patient care; helping them reduce risks and satisfy their patients.

Helps Payers Save Time, Money, And Resources

Payers, especially in America, are using NaviNet Open because it aids them in saving time, money, and resources. As health plans continuously evolve and become more complicated than before, payers need to upgrade their processes. Since NaviNet Open allows the electronic exchange of information between payers and healthcare providers, payers can now reduce the volume of calls their customer service and support team is handling; and they no longer need to fax pertinent documents. Therefore, the platform eliminates the manual way of exchanging administrative, clinical, and financial information which is consuming much of their budget, time, and resources.

Designed For Multi-Payer Healthcare

NaviNet Open is a multi-payer healthcare communication and collaboration platform which means it is designed for various types of entities that are authorized and capable of paying for the costs of health and medical services, procedures, and items. These multiple entities or payers include private individuals, families, business organizations, groups, insurance companies, and government agencies. In other words, NaviNet Open can be implemented not only in public healthcare in which health and medical expenses are covered by a single entity but also in private healthcare wherein expenditures and contributions are coming from private entities.

Exceptional Customer Service And Support

To wrap it up, the payer-provider collaboration platform can be quickly implemented and easily utilized through the aid of a customer service team that provides exceptional support. Users can reach out to this team to ask assistance when it comes to the deployment of the platform. In addition, NaviNet Open offers training modules that can guide them so they can learn to access and use the features and capabilities of the platform efficiently and properly.

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