The initiative, which is organized by leading health insurers in New Jersey in collaboration with America’s Health Insurance Plans (AHIP), the Blue Cross Blue Shield Association (BCBSA) and NaviNet, showcases how multi-payer portals streamline and automate key healthcare processes to improve care delivery and save time and money. Sponsoring health insurers offer providers access to NaviNet Insurer Connect at no cost, enabling them to interact electronically with leading insurers via hundreds of real-time administrative, financial and clinical transactions, including:
•Eligibility and benefit inquiries
•Claims submission
•Claims status inquiries
•Referral and authorization submissions
With a significant footprint in New Jersey, NaviNet has built the largest health information exchange in the state, giving providers online access to 16 health plans in the region and patient information for 95 percent of commercially insured members in the state. Today, 75 percent of providers in New Jersey complete nearly a million NaviNet transactions a month, resulting in significant time and cost savings. In fact, according to a study published by the Council for Affordable Quality Healthcare (CAQH), by electronically processing eligibility inquiries alone, U.S. healthcare providers can save more than two billion dollars a year.1
“NaviNet is proud to participate in this collaborative effort to highlight the tangible benefits that multi-payer portals bring to the healthcare industry,” said Brad Waugh, president and chief executive officer of NaviNet. “For over 10 years the NaviNet Network, the largest national health information network of its kind, has helped the industry deliver high-quality, cost-effective healthcare by automating and improving communication. NaviNet’s success in New Jersey, where nearly all healthcare providers and insured patients in the state are positively impacted by our solutions and services, is one regional example of the benefits that NaviNet’s real-time Web interaction delivers to the U.S. healthcare industry as a whole.”
Susan Duffy, billing manager for the office of Michael S. Rogers MD PA, in West Deptford, New Jersey, says, “We use NaviNet daily for retrieving information on patient claims, benefits, eligibility and referrals and it has dramatically increased office efficiency and reduced our administrative costs. The tool is outstanding!"
NaviNet Insurer Connect is available at no cost to healthcare providers nationwide. Providers interested in joining the NaviNet Network can visit: https://connect.NaviNet.net/enroll. To learn more about NaviNet in New Jersey, visit www.NaviNet.net/NJ_collaboration.
About NaviNet
NaviNet is America’s largest real-time healthcare communications network, securely linking more than 800,000 providers and the nation’s patients, industry partners and leading health plans. NaviNet’s advanced solutions, services and expertise streamline business processes and drive industry-leading innovation. In a time when access to healthcare is a critical issue, NaviNet fosters collaboration and helps government, plans and providers improve quality of care and reduce costs. For more information, or to sign up for NaviNet, please visit www.NaviNet.net or call or . Follow us on Twitter at http://twitter.com/NaviNet.
1 CAQH CORE Phase I Measure of Success Study, May 2009
