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.