The 1199SEIU Benefit Funds Provider Portal offers healthcare professionals a comprehensive, secure online platform to streamline patient management, eligibility verification, and claims processing. This robust digital solution empowers providers with real-time access to critical healthcare information, ensuring efficient and accurate service delivery.
Official Links
- Provider Portal: www.NaviNet.net
- Interactive Voice Response: (888) 819-1199
What Providers Can Do
The 1199SEIU Provider Portal enables healthcare professionals to:
- Verify patient eligibility
- Check claims status
- Access benefit information
- Confirm service coverage
- Print Explanation of Payments
- Review plan rules for prior authorization
Access and Authentication
How to Access
- Visit www.NaviNet.net
- Complete online registration
- Use provided credentials for secure login
Alternative Access Methods
- Interactive Voice Response system: (888) 819-1199
- Email support: [email protected]
Key Features
Real-Time Information
- 24/7 access to patient eligibility
- Instant claims status updates
- Comprehensive benefit verification
Service Coverage Details
- Visit maximums
- Remaining visit confirmations
- Prior authorization guidelines
Privacy and Security
The 1199SEIU Provider Portal ensures:
- Secure, encrypted connection
- Compliance with healthcare data protection standards
- Protected patient information management
Support Resources
Contact Information
- Provider Relations: (646) 473-7160
- Email: [email protected]
Additional Support
- Detailed Provider Manual available online
- Quick Reference Guide
- Provider Demographic Change Request Form
Network Statistics
- 70+ Healthcare Institutions
- 30,000 Participating Providers
- 400,000 Covered Lives
Specialty Services
Prescription Management
- CVS Caremark Preferred Drug List
- 90-Day RX Solution
- Medical exceptions support: (866) 814-5506
Telehealth Coverage
- Comprehensive telehealth service coverage
- Includes phone, video, and virtual consultations
- Specific policy guidelines effective 05/12/2023
EviCore Medical Specialty Management
Effective March 1, 2025, EviCore manages:
- Medical Specialty Drug Prior Authorization
- Outpatient and inpatient gene therapy authorizations
Recredentialing Notice
Providers must:
- Update CAQH application
- Submit attestation form
- Maintain current professional credentials
Unprovided Information
Some specific details about the portal’s mobile application and advanced features were not explicitly confirmed in the source documents.
The 1199SEIU Benefit Funds Provider Portal represents a critical digital tool for healthcare professionals, offering streamlined, secure access to essential patient and claims information.
For the most current information, always refer to the official 1199SEIU Benefit Funds website and contact their provider support team.
FAQ
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.
What is the phone number for 1199 provider portal?For more information, call our Provider Relations Call Center at (646) 473-7160.
Is 1199 under Aetna?
What hospitals are 1199 affiliated with NY?
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1199SEIU.orghttps://www.1199seiu.orgNYC/Long Island – 1199SEIU.orgTens of thousands of 1199SEIU hospital-based members work throughout the mega-health systems that include Mount Sinai, NYU Langone, Presbyterian, Northwell Heal…
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/news/verify-and-check-claims/
NaviNet gives you access to eligibility requirements and benefits, including services with visit maximums, confirmation of visits remaining, claims information.