NaviNet
NaviNet is an easy-to-use, free, web-based solution that links providers to Keystone First Community HealthChoices. Through NaviNet, you can access and submit:
- Real-time clinical care 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?
- Log on to NaviNet
- Don't see Keystone First Community HealthChoices Plan Central? Register for Keystone First Community HealthChoices
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
NaviNet features and tools
- NaviNet Provider Data Info (PDIF) User Guide (PDF)
- Authorization search steps for home- and community-based services providers (PDF)
- How to Generate a Service Coordinator Report in NaviNet (PDF)
- NaviNet Basics
- NaviNet Claims Inquiry User Guide (PDF)
- NaviNet Medical Authorizations FAQ (PDF)
- NaviNet Medical Authorizations Participant Guide (PDF)
- NantHealth: Document Exchange ADT Alerts (PDF)