title: NaviMedix's NaviNet Web solution delivering measurable administrative simplification to neighborhood health plan.
abstract: Neighborhood Health Plan (NHP), a Boston-based not-for-profit health maintenance organization (HMO), is deploying NaviMedix's NaviNet to replace the tangle of phone calls, faxes, and paper forms with a single real-time Web solution that delivers online referral notification, eligibility verification, specialty notification, claims submission, and claims status inquiry to NHP providers. This real-time information exchange has measurably reduced costs for both NHP and its providers. At the first NHP provider site to implement NaviNet, the total cost of processing and managing referrals was reduced by 70 percent. NHP expects to save three dollars for every dollar it invests in NaviNet.
authors.affiliation: NaviMedix, Inc., in Boston, Massachusetts, USA.
authors.forename: L
authors.initials: L
authors.lastname: Dunbrack
mesh_terms: D000555:Ambulatory Care Information Systems; D001900:Boston; D003151:Community Health Centers / Q000458:organization & administration*; D017046:Cost Savings; D004608:Eligibility Determination; D006279:Health Maintenance Organizations / Q000458:organization & administration*; D007344:Insurance Claim Reporting; D020407:Internet / Q000191:economics / Q000458:organization & administration*; D008484:Medicaid; D009939:Organizations, Nonprofit; D012017:Referral and Consultation