NantHealth® Offers New NaviNet® AllPayer Subscription Packages, Now With Electronic Claim Submission
NantHealth (NH) has expanded its NaviNet AllPayer service with new claim submission functionality, allowing healthcare providers to electronically submit and track claims for over 8,100 organizations. The platform now offers four subscription tiers: Standard, Basic, Premium, and Ultimate, each with varying levels of access to health plan workflows, patient lists, and drug authorizations.
The enhanced service includes access to eligibility and benefits information for more than 1,270 plans and claim status inquiry for over 660 commercial plans. According to Scott Maratea, NantHealth Chief Revenue Officer, the platform currently processes over 200,000 transactions monthly. The system streamlines administrative workflows by eliminating the need for multiple portal logins and enables real-time data exchange with health plans nationwide.
NantHealth (NH) ha ampliato il suo servizio NaviNet AllPayer con una nuova funzionalità di invio delle pratiche, consentendo ai fornitori di assistenza sanitaria di inviare e monitorare elettronicamente le pratiche per oltre 8.100 organizzazioni. La piattaforma ora offre quattro diversi livelli di abbonamento: Standard, Basic, Premium e Ultimate, ognuno con vari livelli di accesso ai flussi di lavoro dei piani sanitari, alle liste dei pazienti e alle autorizzazioni per i farmaci.
Il servizio potenziato include l'accesso alle informazioni di idoneità e benefici per più di 1.270 piani e la possibilità di interrogare lo stato delle pratiche per oltre 660 piani commerciali. Secondo Scott Maratea, Chief Revenue Officer di NantHealth, la piattaforma attualmente gestisce oltre 200.000 transazioni mensili. Il sistema semplifica i flussi di lavoro amministrativi eliminando la necessità di effettuare login su più portali e consente uno scambio di dati in tempo reale con i piani sanitari a livello nazionale.
NantHealth (NH) ha expandido su servicio NaviNet AllPayer con una nueva funcionalidad de envío de reclamaciones, permitiendo a los proveedores de salud enviar y rastrear electrónicamente reclamaciones para más de 8,100 organizaciones. La plataforma ahora ofrece cuatro niveles de suscripción: Estándar, Básico, Premium y Ultimate, cada uno con diferentes niveles de acceso a los flujos de trabajo de los planes de salud, listas de pacientes y autorizaciones de medicamentos.
El servicio mejorado incluye acceso a información de elegibilidad y beneficios para más de 1,270 planes y consultas sobre el estado de las reclamaciones para más de 660 planes comerciales. Según Scott Maratea, Chief Revenue Officer de NantHealth, la plataforma actualmente procesa más de 200,000 transacciones mensuales. El sistema optimiza los flujos de trabajo administrativos al eliminar la necesidad de múltiples inicios de sesión en portales y permite el intercambio de datos en tiempo real con planes de salud en todo el país.
NantHealth (NH)는 새롭게 청구 제출 기능을 추가하여 NaviNet AllPayer 서비스를 확장했습니다. 이를 통해 의료 제공자는 8,100개 이상의 기관에 대해 전자적으로 청구를 제출하고 추적할 수 있습니다. 이 플랫폼은 이제 기본, 스탠다드, 프리미엄 및 얼티밋의 네 가지 구독 등급을 제공하며, 각 등급은 건강 보험 작업 흐름, 환자 목록 및 약물 승인에 대한 다양한 접근 수준을 제공합니다.
강화된 서비스에는 1,270개 이상의 계획에 대한 적격성 및 혜택 정보와 660개 이상의 상업 계획에 대한 청구 상태 문의가 포함되어 있습니다. NantHealth의 Chief Revenue Officer인 Scott Maratea에 따르면 현재 이 플랫폼은 매월 20만 건 이상의 거래를 처리하고 있습니다. 시스템은 여러 포털 로그인 필요성을 없애 행정 작업 흐름을 간소화하고, 전국의 건강 보험과 실시간 데이터 교환을 가능하게 합니다.
NantHealth (NH) a élargi son service NaviNet AllPayer avec une nouvelle fonctionnalité de soumission des réclamations, permettant aux prestataires de santé de soumettre et de suivre électroniquement des réclamations pour plus de 8 100 organisations. La plateforme propose désormais quatre niveaux d'abonnement : Standard, Basic, Premium et Ultimate, chacun offrant des niveaux d'accès différents aux flux de travail des plans de santé, aux listes de patients et aux autorisations de médicaments.
Le service amélioré inclut l'accès aux informations d'éligibilité et de prestations pour plus de 1 270 plans, ainsi qu'une enquête sur l'état des réclamations pour plus de 660 plans commerciaux. Selon Scott Maratea, directeur des revenus de NantHealth, la plateforme traite actuellement plus de 200 000 transactions par mois. Le système rationalise les flux de travail administratifs en éliminant le besoin de plusieurs connexions à des portails et permet un échange de données en temps réel avec des plans de santé à l'échelle nationale.
NantHealth (NH) hat seinen Dienst NaviNet AllPayer mit einer neuen Funktion zur Einreichung von Ansprüchen erweitert, die es Gesundheitsdienstleistern ermöglicht, Ansprüche elektronisch einzureichen und für über 8.100 Organisationen zu verfolgen. Die Plattform bietet jetzt vier Abonnementstufen: Standard, Basic, Premium und Ultimate, jede mit unterschiedlichen Zugriffslevels auf die Arbeitsabläufe der Gesundheitspläne, Patientlisten und Medikamentenfreigaben.
Der verbesserte Dienst umfasst den Zugriff auf Berechtigungs- und Leistungsinformationen für über 1.270 Pläne sowie die Abfrage des Status von Ansprüchen für über 660 gewerbliche Pläne. Laut Scott Maratea, Chief Revenue Officer von NantHealth, verarbeitet die Plattform derzeit über 200.000 Transaktionen pro Monat. Das System optimiert administrative Arbeitsabläufe, indem es die Notwendigkeit mehrerer Portal-Logins beseitigt und einen Echtzeit-Datenaustausch mit Gesundheitsplänen im ganzen Land ermöglicht.
- Platform expansion to include electronic claim submission for 8,100+ organizations
- Processing over 200,000 monthly transactions
- Expanded service offering with four subscription tiers
- Integration with 1,270+ plans for eligibility & benefits and 660+ plans for claim status
- None.
Insights
NantHealth's strategic expansion of NaviNet AllPayer's capabilities marks a pivotal move in the healthcare technology sector. The new electronic claim submission functionality addresses a critical pain point in healthcare administration by consolidating access to over 8,100 organizations through a single platform. This integration is particularly noteworthy given the system's robust processing capacity of 200,000+ monthly transactions.
The tiered subscription model (Basic, Standard, Premium, Ultimate) demonstrates sophisticated product stratification, allowing NantHealth to capture different market segments while creating upsell opportunities. The Premium and Ultimate tiers, featuring full claim submission capabilities, position the company to generate higher average revenue per user (ARPU) compared to basic subscriptions.
For healthcare providers, this platform represents significant operational efficiency gains:
- Elimination of multiple portal logins
- Streamlined prior authorization processes
- Real-time data exchange capabilities
- Comprehensive coverage across commercial and government plans
From a market perspective, this enhancement strengthens NantHealth's competitive position in the healthcare technology space, particularly in revenue cycle management and practice workflow optimization. The ability to handle both professional and institutional claims, combined with batch submission capabilities, makes the platform more attractive to larger healthcare organizations, potentially expanding NantHealth's market reach.
| NaviNet AllPayer | ||||||||
| Feature | Standard |
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Basic |
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Premium |
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Ultimate |
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| Health Plan Partner Workflows Sponsored by our health plan partners. Includes claims, E&B, authorizations, patient and practice documents, and more1 |
X |
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X |
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X |
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X |
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| Patient List Experience patient-centered navigation with quick access to patients in your office, their eligibility, and claim status. |
X |
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X |
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X |
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X |
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| Drug Authorizations with CoverMyMeds® Submit unlimited prior authorizations at no cost to you. |
X |
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X |
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X |
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X |
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| Access our nationwide network of health plans Includes thousands of commercial and government plans (Medicare and Medicaid) and third-party administrators. |
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X |
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X |
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X |
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| AllPayer Eligibility & Benefits for 1,270+ plans. Includes both commercial and government plans. |
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X |
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| AllPayer Claim Status Inquiry for 660+ commercial plans. |
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X |
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X |
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| AllPayer Claim Submission for 8,100+ commercial and government health plans. Includes professional and institutional claims. Enjoy batch submission uploads. |
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X |
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“Today, we manage more than 200,000 transactions every month. The new claim submission functionality rounds out our product offering and gives provider practices easy access to the tools they need to optimize workflows and save time,” said Scott Maratea, NantHealth Chief Revenue Officer.
NaviNet AllPayer eliminates the need for provider practices to sign into multiple portals, decreases wait times for prior authorizations, and enables provider practices to exchange vital data in real time with health plans across the country.
About NantHealth, Inc.
NantHealth, a member of the NantWorks ecosystem of companies, provides solutions that help health plans, providers, and hospitals manage the data and decisions that drive improved outcomes. We are laser focused on building innovative technology solutions that improve collaboration, optimize evidence-based medicine best practices, maximize payment integrity, and enhance network monitoring.
NantHealth is recognized for software and services that live at the intersection of precision medicine and value-based care.
For more information, visit nanthealth.com, follow us on X, Facebook, LinkedIn, or YouTube, and subscribe to our blog.
Forward Looking Statements
This news release contains certain statements of a forward-looking nature relating to future events or future business performance. Forward-looking statements can be identified by the words “expects,” “anticipates,” “believes,” “intends,” “estimates,” “plans,” “will,” “outlook” and similar expressions. Forward-looking statements are based on management’s current plans, estimates, assumptions and projections, and speak only as of the date they are made. Such forward-looking statements are not meant to predict or guarantee actual results, performance, events or circumstances and may not be realized because they are based upon the Company’s current plans, objectives, beliefs, expectations, and assumptions and are subject to a number of risks and uncertainties and other influences, many of which the Company has no control over. Actual results and the timing of certain events and circumstances may differ materially from those described by the forward-looking statements as a result of these risks and uncertainties. The Company undertakes no obligation to update any forward-looking statement in light of new information or future events, except as otherwise required by law. Forward-looking statements involve inherent risks and uncertainties, most of which are difficult to predict and are generally beyond our control. Actual results or outcomes may differ materially from those implied by the forward-looking statements as a result of the impact of a number of factors.
View source version on businesswire.com: https://www.businesswire.com/news/home/20250121064635/en/
Media Contact:
Jen Hodson
NantWorks
562-397-3639
jen@nant.com
Source: NantHealth, Inc.
FAQ
What new features does NantHealth's NaviNet AllPayer platform offer in 2024?
How many monthly transactions does NaviNet AllPayer process?
How many health plans are covered by NaviNet AllPayer's eligibility & benefits feature?
What is the coverage of NaviNet AllPayer's claim status inquiry feature?
What are the different subscription tiers available for NaviNet AllPayer?
