NaviNet

What is NaviNet?

NaviNet is an easy-to-use, free, web-based platform that links providers to AmeriHealth Caritas District of Columbia. Through NaviNet, you can access and submit:

Real-time clinical Healthcare Effectiveness Data and Information Set (HEDIS) alerts
Eligibility information
Claims information and updates
Benefits information
Drug authorizations
Prior authorizations

NaviNet helps speed up the provider-health plan connection and can often replace paper transactions. If you're not a NaviNet user, learn more about NaviNet.

Register for NaviNet

NaviNet provides a quick and streamlined registration process using our digital documentation system for automated identity and business verification. When registering for NaviNet, please have the following information ready to be entered into the online registration form:

Office name
Address
Phone number
TIN

You will also be asked to attach one of the following documents for verification:

Certificate of Good Standing
Sole Proprietor SS-4
IRS 147C Letter

Already a registered user?

Upcoming events

New and refresher provider orientations

Dates:

Wednesday, June 11, 2025

Wednesday, August 13, 2025

Wednesday, October 8, 2025

Wednesday, December 10, 2025

Time: 3:00 p.m. – 4:30 p.m.

Please click here to register.

Using NaviNet

The following resources will help you use or get started with NaviNet: