NaviNet is accessed by insurance companies, pharmacists and doctors to facilitate the processing of medical claims. NaviNet represents approximately 420,000 clinical and administrative professionals in the healthcare industry. It is HIPAA compliant and 60 percent of all physicians in the United States are connected to NaviNet.
NaviNet is primarily used to expedite insurance claim processing. Physicians automate insurance authorization and check eligibility among multiple health plans to quickly dispense treatment for their patients. Pharmacies request customer refills from physicians through the system and use it to process insurance claims for drug coverage. Insurance companies use NaviNet to review their coverage policies and share recent clinical data with physicians at the time of authorization.