Reminder: Pre-service review for out-of-area members available through NaviNet

May 1, 2015

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In August 2014, Independence introduced Electronic Provider Access (EPA), which allows providers to conduct electronic pre-service reviews through the NaviNet web portal for out-of-area members. The Pre-Service Review for Out-of-Area Members transaction is available through the Blue Exchange® Out of Area option in the Independence Blue Cross Workflows menu.

With this added function on NaviNet, you are not required to call the out-of-area member's Home Plan line to request preapproval. Note: Users may still need to call the member's Home Plan to request preapproval if the Home Plan does not offer the pre-service review electronically.

The benefits of EPA include:

  • more efficient pre-service review process;
  • reduced administrative costs and fewer phone calls;
  • improved provider and member satisfaction.

For more information

A user guide that describes this transaction in greater detail is available in the NaviNet Resources section of our Provider News Center. We encourage you to review the guide.

If you have any questions regarding NaviNet transaction changes, call the eBusiness Hotline at 215-640-7410.

NaviNet is a registered trademark of NaviNet, Inc., an independent company.

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