October 01, 2014 5:05 AM ET

Health Care Technology

Company Overview of NaviNet, Inc.

Company Overview

NaviNet, Inc. provides a SaaS-based enterprise-class software product line for payer-provider collaboration. It offers NaviNet Open, a healthcare communications platform for making healthcare data communication, as well as payer-provider collaboration possible for the immediate future and the long term. The company’s platform also handles clinical and administrative information; and operates not at a system-to-system file transfer level but at a workflow level that optimizes the end-to-end communications needs of payers and providers. Its platform provides solutions in the areas of transform payer-provider collaboration, develop efficient provider office workflows, support health reform init...

179 Lincoln Street

Boston, MA 02111

United States

Founded in 1997





Key Executives for NaviNet, Inc.

Chief Executive Officer and President
Age: 64
Age: 60
Chief Financial Officer
Chief Operations Officer and Executive Vice President
Compensation as of Fiscal Year 2014.

NaviNet, Inc. Key Developments

Capital BlueCross Extends Contract with NaviNet

NaviNet, Inc. and Capital BlueCross announced that they are extending their current contract, while also implementing NaviNet Open, a new payer-provider collaboration platform. Capital BlueCross uses the NaviNet secure multi-payer web portal to provide key customer health information to network providers. Through this portal, providers can handle important applications or transactions to mutually support customers. For instance, Capital BlueCross can interact with providers on over 20 transactions, including checking the status on claims, and submitting and retrieving referrals and authorizations.

NaviNet, Inc. Announces General Availability of NaviNet Open

NaviNet, Inc. announced the general availability (GA) of NaviNet Open, its next-generation healthcare communications network integrating value-based reimbursement and clinical workflows. Given the tighter collaboration between payers and providers in the post-reform era, health plans leverage NaviNet Open to enable the exchange of critical clinical and administrative data among members of the healthcare ecosystem in real time to improve cost management and overall patient care. Beta Program Customer QualCare, Inc. successfully completed its Beta Program and is live in production on NaviNet Open. It chose NaviNet Open as its next-generation payer-provider platform solution to support patient-centered clinical workflows and value-based reimbursement models. These capabilities, which make NaviNet Open the most advanced network technology platform in healthcare today, were designed based on the best practices of the NaviNet multi-payer portal. he NaviNet Open layered architecture provides the extensibility, flexibility, and scalability necessary to accommodate change and promote growth as health plans launch new businesses and products. In addition to the base platform, NaviNet Open offers core applications, value-based network applications, configuration and administrative tools, and open APIs for easy connectivity, integration, and application development.

NaviNet, Inc. Collaborates with Informatica for Payer-Provider Communications Network

NaviNet, Inc. has collaborated with Informatica Corporation, a provider of data integration software solutions, to deliver the next-generation payer-provider communications network. NaviNet is leveraging Informatica Complex Event Processing (CEP) and Informatica MDM (Master Data Management) to power this "smart" network, which will encourage behavior change at the point of service, with the intent of enhancing clinical encounters. The NaviNet network leverages Informatica CEP-complex event processing software that helps companies and government agencies of all sizes to take action based on real-time intelligence-to empower payer-provider collaboration through the injection of proactive, real-time clinical information. One high-value use case is hospital discharge, in which NaviNet leverages complex event processing and multi-channel platform-based communication to enable the exchange of information between clinical informatics systems and providers so that optimal care can be delivered. In addition, Informatica MDM (Master Data Management) is enabling NaviNet to rapidly consume provider network data from dozens of heterogeneous sources to create a cleansed, matched, complete, and standardized single source of truth for critical data such as the makeup of care teams in distributed provider locations.

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