NaviNet

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• Learn more about this Web-based solution linking providers with health plans.

NaviNet Features & Tools

• NaviNet Medical Authorizations Participant Guide (PDF)
• NaviNet Basics 
• NaviNet Enhancements Training Guide (PDF)
• NaviNet Medical Authorizations FAQ (PDF)
• Care Gaps
• Condition Optimization Program (COP)

Integrated Care Plan (ICP) Sharing in NaviNet

• ICP NaviNet Assessment Instructions (PDF)

Claim Inquiry Submission Instructions

• Claims Investigation Guide (PDF)

Care Gaps

• Provider Guide: Care Gaps Response Form (PDF) 
• Care Gap Changes to Align with HEDIS® Measures (PDF)

Admissions and Discharge Alert (ADT) Guide

• NantHealth: Document Exchange ADT Alerts (PDF)