As previously communicated, providers must use the NaviNet
? web
portal or the Provider Automated System when requesting member eligibility.
In addition, providers must use NaviNet or call the Provider Automated System
to check claims status information. The claim detail provided through either
system includes specific information, such as check date, check number, service
codes, paid amount, and member responsibility.
Providers can view a
webinar
for more information on these requirements. The presentation offers guidance on
where to obtain member eligibility and claims status information through
NaviNet. If your office location is not yet registered for NaviNet, please
visit
NaviNet and select Sign up from the
top right.
If your office is currently NaviNet-enabled but would like assistance with
accessing member or claims information, please call the eBusiness Provider
Hotline at
215-640-7410.
Providers without access to NaviNet must obtain eligibility and claims status
information through the Provider Automated System by calling
1-800-ASK-BLUE and following the voice prompts.
NaviNet? is a registered trademark of NaviNet,
Inc., an independent compnay.