List of NantHealth NaviNet Open Customers
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United States
Since 2010, our global team of researchers has been studying NantHealth NaviNet Open customers around the world, aggregating massive amounts of data points that form the basis of our forecast assumptions and perhaps the rise and fall of certain vendors and their products on a quarterly basis.
Each quarter our research team identifies companies that have purchased NantHealth NaviNet Open for Collaboration from public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources, including the customer size, industry, location, implementation status, partner involvement, LOB Key Stakeholders and related IT decision-makers contact details.
Companies using NantHealth NaviNet Open for Collaboration include: Highmark Health, a United States based Healthcare organisation with 44000 employees and revenues of $27.00 billion, Horizon Blue Cross Blue Shield of New Jersey, a United States based Insurance organisation with 5000 employees and revenues of $4.70 billion, Capital Blue Cross, a United States based Insurance organisation with 1900 employees and revenues of $2.60 billion and many others.
Contact us if you need a completed and verified list of companies using NantHealth NaviNet Open, including the breakdown by industry (21 Verticals), Geography (Region, Country, State, City), Company Size (Revenue, Employees, Asset) and related IT Decision Makers, Key Stakeholders, business and technology executives responsible for the software purchases.
The NantHealth NaviNet Open customer wins are being incorporated in our Enterprise Applications Buyer Insight and Technographics Customer Database which has over 100 data fields that detail company usage of software systems and their digital transformation initiatives. Apps Run The World wants to become your No. 1 technographic data source!
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| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Application | Category | When | SI | Insight |
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Capital Blue Cross | Insurance | 1900 | $2.6B | United States | NantHealth | NantHealth NaviNet Open | Collaboration | 2011 | n/a |
In 2011, Capital Blue Cross implemented NantHealth NaviNet Open to provide secure, real-time provider communications across central Pennsylvania. The deployment was intended to enable approximately 11,000 physicians to access eligibility, claims status and authorization workflows through a consolidated electronic channel.
The NantHealth NaviNet Open implementation concentrated on Collaboration category capabilities, including a web portal for real-time eligibility verification, claims status inquiry and prior authorization workflow management. Configuration focused on secure messaging, role based access controls and automation of eligibility and claims status queries to reduce manual phone and fax exchanges between providers and payer operations.
Deployment architecture delivered a secure, portal based connection between Capital Blue Cross payer systems and provider offices, enabling synchronous transaction flows and portal mediated communications. Operational coverage included provider relations, claims operations and authorization teams within the payer organization and extended outward to physician office staff across central Pennsylvania.
Governance and rollout emphasized payer provider onboarding and standardized process rules to support automation of claims and eligibility processes, with phased enablement across provider groups. The implementation consolidated interactions into NantHealth NaviNet Open and improved office efficiency by centralizing eligibility, claims status and authorization workflows as reported.
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Highmark Health | Healthcare | 44000 | $27.0B | United States | NantHealth | NantHealth NaviNet Open | Collaboration | 2012 | n/a |
In 2012, Highmark Health deployed NantHealth NaviNet Open as one of the Blue health plans participating on the NaviNet platform. NantHealth NaviNet Open, classified in the Collaboration category, was used to enable payer-provider collaboration and to support accountable care initiatives across Highmark Health's service footprint in the United States.
Implementation scope centered on payer-provider connectivity and provider engagement workflows, with inferred module usage aligned to the partnership context. Highmark leveraged capabilities consistent with Collaboration platforms, including Insurer Connect functionality, Eligibility and Benefits checks, and claims workflow coordination, configured to support secure messaging, referral and authorization routing, and administrative task automation.
Operational integration focused on linking Highmark Health payer processes with provider networks and care management teams, positioning NantHealth NaviNet Open as a centralized collaboration layer for utilization review, network operations, and provider engagement. The deployment addressed administrative workflows across plan and provider administrative functions, enabling coordinated communication between payers and provider organizations.
Governance and rollout were oriented around accountable care program objectives, with coordination between plan clinical operations and provider partners to embed NaviNet Open into care management and administrative processes. The implementation is reported to have improved provider engagement and administrative workflows, consistent with the platform use described in source materials.
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Horizon Blue Cross Blue Shield of New Jersey | Insurance | 5000 | $4.7B | United States | NantHealth | NantHealth NaviNet Open | Collaboration | 2010 | n/a |
In 2010 Horizon Blue Cross Blue Shield of New Jersey implemented NantHealth NaviNet Open as a multi-payer insurer portal in the Collaboration category to support a New Jersey initiative providing providers one-stop access to eligibility, claims status, referrals and authorizations. The deployment emphasized a shared insurer connect experience across payers, positioning NantHealth NaviNet Open as the regional access layer for provider-to-payer transaction workflows and administrative self-service.
The implementation used the insurer connect portal model with inferred use of Insurer Connect, Eligibility & Benefits, and Claim Status modules based on reported provider workflows and portal capabilities. These modules centralized eligibility checks, benefits verification, claims status inquiries, and authorization lookups, aligning typical Collaboration functionality with provider access and administrative case handling.
Operational coverage targeted provider organizations across New Jersey, enabling multi-payer connectivity and standardized provider workflows for front-office and revenue cycle interactions. Governance focused on cross-payer coordination to streamline access and reduce administrative fragmentation, with rollout oriented around shared portal access rather than payer-specific point solutions.
The stated outcome was a reduction in administrative burden across the region through consolidated access to eligibility, claims status, referrals and authorizations, achieved by exposing those workflows through NantHealth NaviNet Open. The narrative highlights Collaboration category functionality at the intersection of provider operations and payer administration without asserting specific performance metrics.
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