NaviNet Open Review

NaviNet Open
Our score: 6.1 User satisfaction: N/A

What is NaviNet Open?

NaviNet Open is a leading payer-provider collaboration platform in America that allows healthcare providers and payer networks and offices to communicate and collaborate with each other in real time. The platform improves how information related to administrative, clinical, and financial processes flows between healthcare providers and payers; maximizing reimbursement opportunities, eliminating manual data and document exchanges, and making the delivery of patient care more valuable.

NaviNet Open enables healthcare providers to easily send requests to payers so they can get authorization for accessing essential information about the health plans of their patients, permitting them to verify if patients are really enrolled in health insurance plans and eligible and what specific services and procedures are covered by their plans. NaviNet Open, furthermore, permits healthcare providers to track the statuses of the insurance claims they are submitting to payers. In case there are issues and corrections that need to be addressed, payers can deliver all the necessary details to providers; streamlining claims management processes.

Overview of NaviNet Open Benefits

Enhances Payer-Provider Collaboration Through Electronic Information Exchange

NaviNet Open makes it possible for healthcare providers and payers to exchange real-time administrative, clinical, and financial information and documents with each other electronically. Because of this, collaboration is enhanced between the payer and provider networks and offices. Payers can smoothly communicate with their provider networks and provide all the information related to healthcare plans the latter need such as insurance eligibility, benefits, and coverage, and insurance claim status. As providers access information in real time, they will be able to enhance how they deliver patient care; helping them reduce risks and satisfy their patients.

Helps Payers Save Time, Money, And Resources

Payers, especially in America, are using NaviNet Open because it aids them in saving time, money, and resources. As health plans continuously evolve and become more complicated than before, payers need to upgrade their processes. Since NaviNet Open allows the electronic exchange of information between payers and healthcare providers, payers can now reduce the volume of calls their customer service and support team is handling; and they no longer need to fax pertinent documents. Therefore, the platform eliminates the manual way of exchanging administrative, clinical, and financial information which is consuming much of their budget, time, and resources.

Designed For Multi-Payer Healthcare

NaviNet Open is a multi-payer healthcare communication and collaboration platform which means it is designed for various types of entities that are authorized and capable of paying for the costs of health and medical services, procedures, and items. These multiple entities or payers include private individuals, families, business organizations, groups, insurance companies, and government agencies. In other words, NaviNet Open can be implemented not only in public healthcare in which health and medical expenses are covered by a single entity but also in private healthcare wherein expenditures and contributions are coming from private entities.

Exceptional Customer Service And Support

To wrap it up, the payer-provider collaboration platform can be quickly implemented and easily utilized through the aid of a customer service team that provides exceptional support. Users can reach out to this team to ask assistance when it comes to the deployment of the platform.  In addition, NaviNet Open offers training modules that can guide them so they can learn to access and use the features and capabilities of the platform efficiently and properly.

Overview of NaviNet Open Features

  • Document Exchange
  • Referrals
  • Authorization
  • Claims Management
  • Claims Status Inquiry
  • Eligibility and Benefits

NaviNet Open Position In Our Categories

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Position of NaviNet Open in our main categories:

TOP 100

NaviNet Open is one of the top 100 Medical Practice Management Software products

If you are considering NaviNet Open it might also be beneficial to analyze other subcategories of Medical Practice Management Software collected in our database of SaaS software reviews.

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How Much Does NaviNet Open Cost?

NaviNet Open Pricing Plans:

Free Trial

Quote-based Plan

Contact vendor

NaviNet Open’s SMB and enterprise pricing plan information is available only upon request. Please contact the vendor for details and request a quote.

User Satisfaction

Positive Social Media Mentions 0
Negative Social Media Mentions 0

We realize that when you make a decision to buy Medical Practice Management Software it’s important not only to see how experts evaluate it in their reviews, but also to find out if the real people and companies that buy it are actually satisfied with the product. That’s why we’ve created our behavior-based Customer Satisfaction Algorithm™ that gathers customer reviews, comments and NaviNet Open reviews across a wide range of social media sites. The data is then presented in an easy to digest form showing how many people had positive and negative experience with NaviNet Open. With that information at hand you should be equipped to make an informed buying decision that you won’t regret.


Technical details

Devices Supported

  • Linux
  • Web-based


  • Cloud Hosted
  • Open API

Language Support

  • English

Pricing Model

  • Quote-based

Customer Types

  • Small Business
  • Large Enterprises
  • Medium Business

What Support Does This Vendor Offer?

  • email
  • phone
  • live support
  • training
  • tickets

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What are NaviNet Open pricing details?

NaviNet Open Pricing Plans:

Free Trial

Quote-based Plan

Contact vendor

NaviNet Open’s SMB and enterprise pricing plan information is available only upon request. Please contact the vendor for details and request a quote.

What integrations are available for NaviNet Open?

NaviNet Open integrates with your accounting systems and other third-party applications.


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Reviewed By Jenny Chang
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