Care gaps for Keystone First Members

You are now able to find missing recommended services (care gaps) for your Keystone First members right here on NaviNet. To access this important information, choose the Report Inquiry option from the transaction menu. Also, care gap alerts will appear on your screen (if applicable) when you check a Keystone First member's eligibility and benefits.

Learn more about this important new feature below. If you do not have access to these reports, please see your NaviNet security officer. Please note that at this time, these reports are available only for patients of primary care provider offices in the Keystone First service areas.

Care gaps from Keystone First is:

  • A new way of getting patient care information through NaviNet
  • HEDIS care gap information when you need it
  • Improving quality of care AND your Pay for Performance scores

Care Gap