NaviNet

What is NaviNet?

NaviNet is an easy-to-use, free, web-based platform that links providers to Keystone First. 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. 

Already a NaviNet User?

Not a NaviNet user?

NaviNet provides a quick and streamlined registration process using our digital documentation system for automated identity and business verification. When registering for NaviNet, please have the following information ready to be entered into the online registration form:

  • Office name
  • Address
  • Phone number
  • TIN

You will also be asked to attach one of the following documents for verification:

  • Certificate of Good Standing
  • Sole Proprietor SS-4
  • IRS 147C Letter