NaviNet
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.
Already a NaviNet User?
- Log on to NaviNet.
- Don't see Keystone First Plan Central? Register for Keystone First.
Not a NaviNet user?
- 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)