NaviNet

What is NaviNet?

NaviNet is an easy-to-use, no-cost, web-based platform that links providers to AmeriHealth Caritas Ohio. Through NaviNet, you can access and submit:

  • Real-time clinical Healthcare Effectiveness Data and Information Set (HEDIS) alerts
  • Eligibility information
  • Claims information and updates
  • Benefits information
  • Drug authorizations
  • Prior authorizations

NaviNet helps speed up the provider-health plan connection and can often replace paper transactions. If you're not a NaviNet user, learn more about how to sign up for NaviNet. 

Using NaviNet

The following resources will help you use or get started with NaviNet:

Providers