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Samples in periodicals archive:
Horizon's Medicaid subsidiary will replace its provider portal with NaviNet, expanding the online transactions it offers at no cost to caregivers to include referral submission and inquiry in addition to eligibility and benefits (E&B), and claim status inquiry.
Availity(R) Health Information Network offers providers access to Beneficiary Eligibility and Benefits as well as Claim Status Inquiry
To keep provider satisfaction levels high while reducing costs associated with provider call volume, VPHP has deployed eligibility and benefits and claim status inquiry transactions via NaviNet Sponsor to providers treating the more than 160,000 patients insured by the plan.
The alliance will create a powerful solution that will automate the processes of insurance eligibility verification, claim status inquiry and claims management across the financial enterprise.
a leading supplier of IT administration solutions, today announced that they had signed a Letter of Intent to work together to assist Eldorado's customers in reaching HIPAA compliance through real time and batch electronic transactions such as payer claims processing, eligibility verification, claim status inquiry and referrals and authorizations.
Eligibility, Referral Request and Inquiry, and Claim Status Inquiry - The provider is able to immediately verify patient eligibility, obtain a referral in real-time, as well as determine the status of a claim while in the payer's adjudication system.
With NaviNet, participating providers now have access to more than 18 value-added transactions--such as eligibility, referral submission and inquiry, claim status inquiry and pharmacy pre-authorization--more than they could access with their former EDI solution.
In addition to its previous transaction capabilities including eligibility and benefits inquiry, claim status inquiry, basic and specialty referral processing, claims pre-processing, ER notifications, encounter processing and more, AmeriHealth's thousands of physicians and more than 90 hospitals will now have access to an online provider change form.