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Reminder: Provider self-service requirements effective September 15, 2011 

September 1, 2011    

In our continuing efforts to provide the most current and reliable information to our network providers, effective September 15, 2011, we will enforce our policy that requires providers to use the NaviNet® web portal or the Provider Automated System when requesting member eligibility.

In addition, providers will be directed to use NaviNet or call the Provider Automated System when checking claims status information. The claim detail provided through either system includes specific information, such as:

  • check date
  • check number
  • service codes
  • paid amount
  • member responsibility
  • To assist you in using these transactions in NaviNet, new user guides were recently posted in the Administrative Tools & Resourcessection of IBC Plan Central.

    If your office location is not yet registered for NaviNet, please visit www.navinet.net and select Sign up from the top right. If your office is currently NaviNet-enabled but would like training on how to access member or claims information, please call the eBusiness Provider Hotline at 215-640-7410.

    Providers without access to NaviNet must obtain eligibility and claims status information through the Provider Automated System by calling 1-800-ASK-BLUE and following the voice prompts.

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