NaviNet
What is NaviNet?
NaviNet is an easy-to-use, no-cost, web-based platform that links providers to AmeriHealth Caritas Florida. NaviNet helps speed up the provider-health plan connection and can often replace paper transactions. 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
Using NaviNet
The following resources will help you use or get started with NaviNet:
- NaviNet FAQs
- Sign up for NaviNet
- Log in to NaviNet
- Identify and improve HEDIS gaps
- NaviNet Medical Authorizations Participant Guide (PDF)
- NaviNet Medical Authorizations FAQs (PDF)
- Tutorial video – How to Inquire About an Authorization
- Tutorial video – Authorization Submission
- Ways to avoid common errors in Electronic Prior Auth Submissions