NaviNet Enhancement – Claim Denial Details

April 2021

As of March 19, 2021, NaviNet gives a user additional detail for all claims that have denied with a 317 reason code.  On the “Claim Status Details,” a user can hover their computer’s cursor over the denied claim line and “view additional detail” will appear in a blue bar (see screenshot below).  Click the bar for more information.

Additionally, if a Medicaid claim has denied at the “header” level, the CES Message Code/Description will appear above the line detail.  Note this is for Medicaid claims only.  Please visit NaviNet for more information.