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Complete an online registration form to register for NaviNet.
NaviNet Customer Care:
NaviNet Transaction Changes
The NaviNet web portal has been undergoing a series of changes and enhancements that will affect your day-to-day operations. IBC providers will see a difference in the look and feel of the provider portal, as well as in transaction functionality.
Given the significant number of changes being implemented, we urge you to visit the Provider News Center for more information, including updated NaviNet User Guides and an archive of all communications.
Pre-Service Review for
NaviNet users no longer have to call the out-of-area member’s health plan to request preapproval.Learn more
NaviNet® Registered Users
IBC provides a variety of resources and information to ensure that you and your staff are comfortable with NaviNet.
IBC and NaviNet have worked together to create a variety of helpful user guides that provide easy step-by-step instructions for completing tasks and transactions via NaviNet.
Visit the NaviNet Transaction Changes section of our Business Transformation site and download a variety of user guides covering such topics as eligibility and benefits, referral submissions, EOB and remittance inquiries, claim status inquiries, and more.
Participating provider offices can contact IBC for training. We provide NaviNet portal training over the phone and on-site for larger groups.
Provider Network Services Hotline:
- PA & DE providers: 215-640-7410
- NJ providers: 609-662-2565
Provider Self-Service Requirements
IBC-participating providers must use the NaviNet web portal or the Provider Automated System to obtain certain information. These requirements pertain to participating providers, facilities, Magellan-contracted providers, and billing agencies that support provider organizations.
Eligibility and Claims Status
All participating providers and facilities are required to use NaviNet (or call the Provider Automated System) to verify member eligibility and check IBC claims status information. The claim detail provided through either system includes specific information, such as check date, check number, service codes, paid amount, and member responsibility.
We have created a webinar that clarifies the process for obtaining member eligibility and claims status information through NaviNet.
Participating providers who call Customer Service to question a claim payment or to request a claim adjustment will be directed to submit the request via NaviNet using the Claim INFO Adjustment transactions.
All participating providers and facilities must use NaviNet in order to initiate the following authorization types: medical/surgical procedures, chemotherapy/infusion therapy, durable medical equipment, emergency hospital admission notification, home health (dietitian, home health aide, occupational therapy, physical therapy, skilled nursing, social work, speech therapy), home infusion.
*This information does not apply to providers contracted with Magellan Behavioral Health, Inc. (Magellan). Magellan-contracted providers should contact their Magellan Network Coordinator at 1-800-866-4108 for authorizations.
If you have questions regarding these requirements, please contact our eBusiness Provider Hotline at 215-640-7410.
NaviNet® is a registered trademark of NaviNet, Inc., an independent company.
The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans.