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:
- Sign up for NaviNet
- Log in to NaviNet
- NaviNet Enrollment Guide (PDF)
- NaviNet Medical Authorizations Training Guide (PDF)
- NaviNet Medical Authorizations Frequently Asked Questions (FAQ) (PDF)
- NaviNet Provider Guide: Care Gaps Response (PDF)
- Tutorial Video — Prior Authorization Inquiry Process
- Tutorial Video — Prior Authorization Submission Process