How do I check patient eligibility, and more?

Health Plans: 

  • NaviNet Basics

Workflow: 

  • Eligibility and Benefits,
  • Using NaviNet

To check patient eligibility, view claim status, and access all other health plan transactions, you must first choose a health plan. 

  1. Sign in to NaviNet. On the Health Plans menu, choose the health plan.

  2. On the Plan Central screen for that health plan, click the desired transaction in the Workflows for This Plan section. For example, to check a patient's eligibility, click Eligibility and Benefits

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    The system guides you through the screens to complete the task.

For information and user guides on specific transactions, visit the Health Plan Support page and select a health plan.

For transactions that are not specific to a health plan, click the desired transaction on the Workflows menu. 

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