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NantHealth Enhances Interoperability of the NaviNet Open Platform With Expanded API Capabilities

Move Reinforces NantHealth’s Commitment to Improved Connectivity For Payers, Providers, and Revenue Cycle Organizations

NantHealth, Inc, a next-generation, an evidence-based, personalized healthcare company, announced a series of secure Application Programming Interfaces (APIs) that will offer provider and revenue cycle organizations connectivity to payers via the NaviNet Open Platform. This update enables faster information retrieval and easier payer access through a secure real-time, HIPAA-compliant gateway to payers. The workflows include Eligibility & Benefits, Claim Status Inquiry, Authorizations, and Referrals. NaviNet also offers APIs for payers to access the secure and flexible NaviNet Open Document Exchange platform.

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The NaviNet Open Platform APIs provide benefits to stakeholders across the healthcare industry.

  • Providers and revenue cycle companies can increase efficiencies by connecting directly to payers from their core EMR and billing systems, virtually eliminating manual or double data entry and outbound telephone inquiries. This will improve the speed and accuracy of billing and collection, while improving the patient experience, health outcomes and overall cost of care.
  • Third party vendors who serve our network of payers and providers can connect to NaviNet Open to access and share data for enhanced payer-provider collaboration for revenue cycle management, prior authorization management, care coordination, quality, and value-based care.
  • Health plans’ large providers can access the rich information already available in the NaviNet Open Portal automatically from the systems of their choice. The Document Exchange APIs allow payers to distribute and collaborate with providers on closing care gaps, improving hierarchical condition category (HCC) coding, assuring timely access to fee schedules, and a variety of other information exchange scenarios critical to value-based care success.

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“NantHealth is delighted to bring this additional functionality to our network of health plans and providers, leading to enhanced interoperability with automation, security, ease of use and scalability,” said Chris House, Senior Vice President, Product Engineering at NantHealth. “NaviNet has been a leader in payer-provider engagement for 20 years, creating value through innovation and enabling healthcare to successfully operate more efficiently, resulting in better care for patients and members.”

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