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In our continuing efforts to provide the most
current and reliable information to our network providers, we will soon begin
to 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 the Provider Automated
System when calling for 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>
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 can also obtain this information through
the Provider Automated System by calling 1-800-ASK-BLUE and following
the voice prompts.
Look for additional information on the effective
date and how to use these tools in upcoming editions of Partners in Health
UpdateSM.