In October 2017, we introduced additional links to benefit categories to
help direct providers to specific member information more easily while using
the Eligibility and Benefits transaction on the NaviNet web portal.
We encourage providers to utilize the Health Plan Provisions (Personal
Choice? Provisions, in this example) and Additional Benefit
Provisions links for more detailed member benefit information. These links can
be found on the right-hand side of the Eligibility and Benefits Details
screen.
Health Plan Provisions
Select the Health Plan Provisions link to see a general overview of
the member?s coverage as well as group-specific information. Below is an
example of some of the information provided, which includes In-Network and
Out-of-Network deductible information.
Additional Benefit Provisions
Select the Additional Benefit Provisions link to see additional
benefit categories with provisions specific to that benefit category. Below is
an example of the additional benefit provisions.
For further instructions on using this transaction, please see the
Eligibility and Benefits Inquiry Guide, which can be found in the NaviNet Resources
section. If you have additional questions after reading the guide, please call
our eBusiness Hotline at 215-640-7410.
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independent company.