As previously communicated, IBC is in the process of transitioning our claims
processing to a new platform. During this time, we will be working with you in
a dual claims-processing environment until all of our business is on the new
platform. Providers will likely see a mix of migrated and non-migrated members.
Beginning in July, the Eligibility and Benefits Detail screen for migrated
members will display the National Provider Identifier (NPI) of the member?s
primary care physician, where applicable.
In addition, as part of our ongoing transition, all NaviNet offices will be
converted to the new platform in mid-October. As a result, most providers will
see a difference in their provider group drop-down menus within many individual
transactions on the NaviNet web portal. Some other significant changes that
providers will see on the new platform include the following:
NaviNet office will move from a location-specific to a group-specific office
configuration.
Because there will no longer be a need for duplicate records to differentiate
between HMO and PPO lines of business, we will consolidate drop-down lists.
Customized provider group name descriptions will be eliminated.
Also coming in October, IBC will introduce a new transaction ? called Allowance
Inquiry ? to replace the retired Fee Schedule Inquiry transaction.
More information about these changes, including the availability of detailed
user guides, will be communicated through future articles in Partners in Health
Update
SM.
If you have any questions regarding these upcoming NaviNet changes, please call
the eBusiness Hotline at
215-640-7410.
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