Your 1199SEIU Patients Are Covered for Certain Coronavirus and Antibody Tests
The Benefit Funds are covering diagnostic testing for the coronavirus, as well as antibody testing when medically necessary, for your 1199SEIU patients. The Funds will not cover employment-related tests, antibody tests when there was a previously confirmed COVID-19 diagnosis, or antibody tests performed on the same date of service as a COVID-19 test.
The Benefit Funds Are Now Located at 498 Seventh Avenue
Following some delays due to the COVID-19 pandemic, the Benefit Funds have moved to a new location: 498 Seventh Avenue, New York, NY 10018-0009. While we are fully operational onsite, please continue to use our self-service options to check patient eligibility, and benefit and claim status, by visiting our provider portal at www.NaviNet.net. You can also call (888) 819-1199 to connect to our 24-hour automated claims and eligibility system.
Verify 1199SEIU patient eligibility, claims status and much more.
Enhancements to Eligibility & Benefits Are Here!
NantHealth and 1199SEIU Benefit Funds are excited to announce additional accumulator information for member benefits in Eligibility and Benefits is now here! Learn more here.
More Provider Connections
Enhancements to eviCore Streamline Prior Authorization Process
The 1199SEIU Benefit Funds are enhancing their partnership with the eviCore Healthcare Review Program to help ensure that your 1199SEIU patients receive the most consistent standard of cancer care. These changes, which will go into effect on October 1, include...
ClaimsXten Select Frequently Asked Questions (FAQs)
ClaimsXten Select is a clinically based claims-editing software solution that advances claims-auditing capabilities and resolves limitations in the current ClaimCheck software. ClaimsXten Select offers clinical coding logic and rules-based claims management with the...
Benefit Funds to Upgrade Our Claims Auditing Software
Effective March 1, the Benefit Funds will upgrade our claims-auditing platform, from ClaimCheck to ClaimsXten, to meet our needs for a more comprehensive and well-known solution that is used by many payers to adjudicate applicable claims according to prevailing...
The Benefit Funds Have Your 1199SEIU Patients Covered During the COVID-19 Pandemic
During this COVID-19 pandemic, the Benefit Funds have worked to support the care that you, our valued partners, provide to your 1199SEIU patients by helping to ensure they can access the testing and medical care they need. The Funds are covering diagnostic testing for...
We Are Temporarily Covering Telehealth Services for Your 1199SEIU Patients
Effective March 18, 2020, we are covering telehealth services for your 1199SEIU patients in an effort to help everyone limit contact with others during the COVID-19 crisis. We will cover consults via phone, video and other virtual means for all eligible medical and...
Verify Your 1199SEIU Patients’ Eligibility and Claims Online
We know how important it is for our participating providers to have access to real-time information on their 1199SEIU patients’ claims status and eligibility for services. That’s why we offer a quick and convenient way for you to view this information online, through...