Self-Service Tools

Keystone First VIP Choice strives to furnish its provider partners with the tools they need to deliver exceptional, effective, and efficient health care to our members. After all, our members look to you, our participating providers, to help them get healthy and stay healthy.

The following tools are available to help you in the day-to-day care of our members:

Find a provider or drug

• Searchable Provider Directory
• Printable Provider Directory (PDF) September 19, 2024
• Request for Redetermination of Medicare Prescription Drug Denial

Electronic tools

• NaviNet - log in
• NaviNet - sign up
• What is NaviNet?
• NaviNet Medical Authorizations Participant Guide (PDF)
• Electronic Funds Transfer/Electronic Remittance Advice Enrollment (PDF)
• Electronic Claims Submission
  • Payer ID - 77741
• Direct entry claims submission through Change Healthcare

Y0093_WEB_318377