1199SEIU Benefit Funds: Secure Provider Portal Access for Healthcare Professionals

1199

The 1199SEIU Benefit Funds Provider Portal offers healthcare professionals a comprehensive digital platform designed to streamline administrative processes and enhance provider interactions. This robust online system provides critical tools for verifying patient information, managing claims, and accessing essential resources efficiently.

Official Resources

Key Portal Features

Eligibility and Claims Verification

Providers can quickly:

  • Check patient eligibility
  • Verify claims status
  • Access real-time patient information

Access Methods

Providers have multiple access options:

  1. NaviNet Provider Portal: Primary online platform
  2. Interactive Voice Response (IVR): 24/7 phone system
    • Call: (888) 819-1199
    • Requires:
      • Tax ID number
      • Member ID
      • Patient date of birth

System Capabilities

Transaction Enhancements

The portal now offers:

  • Eligibility and Benefits Transactions
  • Claim Status Inquiry Transactions

Important Provider Notes

  • Previous bookmarked URLs are no longer valid
  • Access transactions via Plan Central

Security and Reliability

Provider Network

  • Supports over 30,000 participating providers
  • Covers approximately 70 institutions
  • Serves 400,000 covered lives

Cyber Security Awareness

The Benefit Funds transparently communicate ongoing cybersecurity considerations, demonstrating commitment to provider data protection.

Support and Assistance

Contact Information

  • Email: [email protected]
  • Phone: (646) 473-7160
  • Address: 498 Seventh Ave, New York, NY 10018

Additional Resources

Provider Documentation

  • Quick Reference Guide
  • Provider Manual
  • Provider Demographic Change Request Form

Unique Portal Advantages

Streamlined Processes

  • Eliminate manual paperwork
  • Accelerate reimbursement cycles
  • Simplified information management

Accessibility

Available 24/7

  • Online portal
  • Interactive Voice Response system
  • Comprehensive self-service options

Ongoing Improvements

The 1199SEIU Benefit Funds continuously enhances its provider portal, focusing on:

  • User experience
  • Technological reliability
  • Comprehensive healthcare professional support

Limitations and Considerations

Current Challenges

As of August 2025, providers should be aware of:

  • Potential system updates
  • Ongoing cybersecurity monitoring
  • Periodic authentication requirements

The 1199SEIU Provider Portal represents a sophisticated, user-centric platform designed to simplify healthcare administrative processes, offering providers efficient, secure, and comprehensive digital interactions.

Disclaimer: Information accurate as of August 2025. Always verify current procedures and requirements directly with 1199SEIU Benefit Funds.

FAQ

Is 1199 through Aetna?Welcome 1199SEIU retirees!

We can help you learn about your benefits and how to use your 1199SEIU Aetna Medicare Advantage plan. When you enroll in an Aetna Medicare plan, we’ll mail you: A letter stating that you’re a member in our plan. Your Aetna member ID card (usually within 14 days)

What hospitals are 1199 affiliated with NY?

AI Overview
    • 1199SEIU.org
      https://www.1199seiu.org
      NYC/Long Island – 1199SEIU.org
      Tens of thousands of 1199SEIU hospital-based members work throughout the mega-health systems that include Mount Sinai, NYU Langone, Presbyterian, Northwell Heal…

    • rnbenefits.org
      https://rnbenefits.org
      Pension Plan > Resources > List of Participating Pension Facilities
      Brooklyn Hospital Center; Centerlight Health System; Cabrini of Westchester; Flushing Hospital Medical Center; Gracie Square Hospital; Interfaith Medical Center…

    • rnbenefits.org
      https://rnbenefits.org
      NYSNA PP & BF > Benefits Fund > Resources > List of Participating …
      Albert Einstein College of Medicine of Yeshiva University; Alice Hyde Medical Center; AO Fox Memorial Hospital; BronxCare Health System; BronxCare Hospital Cent…

How do I contact 1199 insurance?To check 1199SEIU patient eligibility or benefit and claim status information, visit the NaviNet provider portal or call the Interactive Voice Response (IVR) System at (888) 819-1199 for 24-hour automated claims and eligibility service. You can also contact us by emailing [email protected].

Is local 1199 the same as 1199SEIU?The 1990s saw 1199 grow as it began to organize thousands of nursing-home and homecare workers in New York City and its suburbs. In 1998, 1199 merged with SEIU to become 1199SEIU United Healthcare Workers East.

https://www.1199seiubenefits.org/providers/

To check 1199SEIU patient eligibility, benefit and claim status information, please visit our provider portal at www.NaviNet.net, or call (888) 819-1199.

https://www.1199seiubenefits.org/providers/eligibility-and-claims-status/

Simply call (888) 819-1199 and enter your tax ID number, the member’s ID number and date of birth. You can check an unlimited number of patients in one call.

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