Begininning July 20, 2016, for a number of provider
offices, we will introduce a new Eligibility and Benefits
Inquiry transaction in the Independence Workflows menu
on the NaviNet® web portal. All remaining NaviNet-enabled
participating providers will be given access
to the new transaction starting August 3, 2016. The
member search criteria in the updated transaction will be
modified, and the presentation of eligibility and benefits
information will change.
The Eligibility and Benefits Inquiry transaction will
continue to provide access to detailed, real-time eligibility
and benefits information for Independence members,
as well as information about a member?s demographics,
insurance, and cost-sharing (e.g., copayment,
coinsurance, deductible). The Eligibility and Benefits
Details screen will offer a list of benefit categories to
view and will continue to include links to information
about the member?s capitated sites (where applicable),
member ID card, and product-wide provisions associated
with the member?s benefit plan.
The new Eligibility and Benefits Inquiry transaction
will allow you to search for a member?s eligibility and
benefits record for up to two years preceding the
current date. However, when the new transaction is first
released, you will only be able to retroactively search for
dates of service on or after July 1, 2015. Eligibility and
benefits information for Independence members will not
be available through NaviNet for dates of service prior to
July 1, 2015.
In the coming weeks, we will publish a new user guide
for the updated Eligibility and Benefits Inquiry transaction
in the NaviNet Resources section of our Provider News
Center. Once available,
we will make an announcement on the Provider News
Center as well as on Independence NaviNet Plan
Central.
If you have any questions about the upcoming changes
to the Eligibility and Benefits Inquiry transaction, call the
eBusiness Hotline at
215-640-7410.
New Document Exchange feature postponed
The release of the new Document Exchange feature has been postponed until
later in the third quarter of 2016.
As a reminder, this new feature will allow Independence to share information
electronically with our provider
network. Your NaviNet Security Officer will control which end users, including
himself or herself, associated
with your NaviNet office will be given access to five unique Practice Document
Categories.
Note: Third-party vendors with access to NaviNet will not have the
ability to access Document Exchange.
A user guide for Document Exchange is available in the NaviNet Resources section of our Provider News Center.
Look for additional information about Document Exchange in future editions
of Partners in Health UpdateSM.
NaviNet is a registered trademark of NaviNet, Inc., an
independent company.