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In mid-October, IBC will introduce a new transaction to the NaviNet web portal ? called Allowance Inquiry ? to replacethe retired Fee Schedule Inquiry transaction. Allowance Inquiry will be available through the Plan Transactions menu.
Allowance Inquiry will return fees for professional providers only and will indicate where primary care physiciancapitation is generally applicable. The fees returned via Allowance Inquiry will be associated with migrated membersonly and will not include results for Traditional or Comprehensive Major Medical members.
Please note that provider payment allowance information will be for informational purposes only and will not be aguarantee of payment for the amount displayed.
User guide available soon
We will publish a user guide soon in the NaviNet Transaction Changes section of our Business Transformation site. This guide will describe the Allowance Inquiry transaction in detail. Westrongly encourage you to review the user guide once it's published. An announcement will be made on IBC NaviNetPlan Central and on our Provider News Center once it is available.
If you have any questions regarding this new transaction, please call the eBusiness Hotline at 215-640-7410.
Attention: NaviNet office conversion postponed until 2015
Last month we announced that we would be converting NaviNet offices to the new platform in October 2014.Please be advised that this conversion has been postponed until 2015. We will communicate more specificinformation, as it becomes available, in future editions of Partners in Health UpdateSM.
NaviNet® is a registered trademark of NaviNet, Inc., an independent company.
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