Provider Network Management

The NaviNet Provider Network Management Module enables health plans to take advantage of an electronic platform to distribute materials such as policies, directories, bulletins and other information to providers participating in their network, significantly reducing printing, mailing and other costs while easing provider access to these materials and information. Providers take advantage of the NaviNet Provider Network Management Module to reduce paperwork and to use a common source to access important information distributed by health plans.

Functional Capabilities:

Allowance Inquiry
Network Provider Search
Capitation Roster Distribution
Procedure Code Inquiry
Most Frequently Billed Procedure Fee Lookup
Provider Data Maintenance
Network Facility Search
Recredentialing Application Processing And Submission

Health Plan Success:

Reduced amount of time to process a provider recredentialing application from 60 to 3 days with NaviNet.
Health plans have significantly eased access to provider and facility searching capabilities, code lookups and capitation roster management.

Provider Success:

Specialty practice realized a savings of more than two hours for each recredentialing application processed via NaviNet.

Product Overview

Improve care management, reduce administrative costs, and enhance provider relationships by using NaviNet to automate your unique processes.

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NaviMedix Testimonials

"NaviMedix brought some truly unique differentiators to the table. The combination of NaviNet's ® functionality, the company's multi-payer approach and the experienced NaviMedix team who converted our systems and trained our providers scored a home run with our affiliated providers and health care facilities. We're confident that NaviNet has contributed to the plan's ability to maintain our provider relations efforts and sustain our competitive edge..."

Director of Provider Relations

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Thought Leadership

Making Pay-for-Performance Work for Program Sponsors and the Provider Practice

Delivering patient-specific clinical content to providers at point of care via an online workflow-based infrastructure.

Managing Radiology Utilization in the Provider Office: Leveraging Web-based Solutions to Maximize Benefits and Control Costs

Implementing a standard online approach to proprietary radiology utilization management programs to ensure adoption, usage and successful achievement of program goals.

Proven solutions for automating provider communications