What is NaviNet?
NaviNet is an easy-to-use, free, web-based solution linking providers to First Choice. Through NaviNet, you can access and submit:
- Real-time clinical care alerts
- Eligibility information
- Claims information and updates
- Benefits information
- Drug authorizations
NaviNet helps speed the provider-health plan connection and in many instances, replaces paper transactions.
Member Clinical Summary
What if you could see demographic information (member and PCP), medications, chronic conditions, emergency room visits, inpatient admissions, and more in one report? It’s all in the Member Clinical Summary.
The Member Clinical Summary is a virtual snapshot of a patient’s clinical data and demographic information in a user-friendly format. It’s readily available through NaviNet as a printable PDF and as a downloadable CCD formatted file.
Learn how you can access the Member Clinical Summary
The following resources will help you use or get started with NaviNet:
- Login to NaviNet
- Sign up for NaviNet
- NaviNet support
- Care gaps
- Frequently asked questions
- NaviNet Medical Authorizations Provider Guide (PDF)
- NaviNet Care Gaps Response Form Provider Guide (PDF)
- NaviNet Claims Investigation Provider Guide (PDF)
Have a question or need help with NaviNet? Call First Choice Provider Services at 1-800-741-6605 or NaviNet Customer Support at 888-482-8057.