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
New user guides to assist you in using these transactions in NaviNet were
recently posted in the Administrative Tools & Resources section 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.