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Care Gaps

NaviNet care gap alerts

NaviNet provides care gap alerts in addition to eligibility and claims status information. These alerts allow you to find missing recommended services (care gaps) before a member comes in for a visit.

When you check a member's eligibility and benefits, an alert box will appear if the member has a care gap.

You can view and print the care gap worksheet (PDF), which lists the last service date of the missed measure and the rule that was used to determine the gap. Place the Care Gap Worksheet in the member's chart for consideration during the visit.

You can also view and print a comprehensive care gap report for your practice. You can choose reports based on a specific measure (e.g. preventive health screen) or all measures. To access this information, choose the Report Inquiry option from the transaction menu and then select Clinical Reports.

If you have any questions or feedback about this NaviNet feature, please contact your account executive (PDF).

Care gap resources

The following care gap resources are available: