Claim Status Inquiry Attachment Feature Coming Soon to NaviNet

Highmark is making it easier for our providers to submit supporting documentation to a Claim Status Inquiry.

Soon, providers will be able to attach those documents online through NaviNet®. This will streamline the claim status inquiry process and eliminate the need to fax supporting documents or print them out and send them through the mail.

The changes will help to ensure that Highmark receives the right supporting documentation to make more informed and timely claim decisions, simplify and expedite the overall process and reduce administrative burden.

Providers will be able to attach four types of documents to a claim status inquiry:

  1. PWK (additional documentation to support an electronic claim)
  2. Out of Area Medical Records-Including Barcoded Request Letter (as coversheet)
  3. Medical Record Request
  4. General Provider / Facility Inquiry

If you have not yet signed up for NaviNet, visit www.NaviNet.net and click the Providers: Sign Up for NaviNet tab.

A specific launch date and step-by-step instructions on the new workflow will be communicated via Plan Central in NaviNet and Special Bulletins on the Provider Resource Center.

 

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