The percentage of transactions going through NaviNet has increased from 80 to well over 90 percent. In an effort to streamline the communication process between hospital emergency rooms and NHP, NaviMedix developed what may be the first online emergency room notification application in the country. Several network hospitals providing care to NHP members now use an extension of NaviNet to obtain immediate ER authorization. NHP recently added 35,000 new members with no corresponding increase in administrative budget, even though five FTEs had originally been budgeted for this growth in membership. Not only have our administrative costs continued to decrease, but also our relationships with providers improved.
Providers are very enthusiastic about the application.
NHP has now expanded the transaction set beyond referral processing to include eligibility verification, claims submission, and ER notification. Lynne Dunbrack is director of product management at NaviMedix Inc., a provider of Web solutions to streamline communications between health plans and physician offices.