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. 

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NaviNet Features & Tools

Integrated Care Plan (ICP) Sharing in NaviNet

Claim Inquiry Submission Instructions

Care Gaps

Admissions and Discharge Alert (ADT) Guide