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Provider Self-Service Tools

The information you need is available to you online, 24/7. Our Provider self-service tools help you get the most out of partnering with us.

Eligibility and Benefits Cost Share Estimator

Our Eligibility and Benefits Cost Share Estimator gives you access to medical and behavioral health claim-level member eligibility, benefits and out-of-pocket costs.

Prior Authorization Procedure Search Tool

Find out if services require prior authorization for your Horizon patients.

Utilization Management Request Tool

Submit authorization and referral (pre-determination) requests and verify the status of previously submitted authorization or referral (pre-determination) requests easily and securely through our Utilization Management Request Tool.

Videos

Watch our videos to learn about NaviNet, how to get answers to FAQs and how to use our Prior Authorization Procedure Search tool.