In our continuing efforts to provide the most current and reliable information
to our providers, we will soon begin to
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 the Provider Automated System
when calling for 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
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 can also obtain this information through
the Provider Automated System by calling 1-800-275-2583 and following
the voice prompts. Look for additional information on the effective date and
how to use these tools in upcoming editions of Partners in Health Update.