Naviguard out-of-network services
Naviguard®, a UnitedHealthcare out-of-network service, works with health care providers to quickly resolve out-of-network billing issues. We focus on expedited claim reprocessing and resolution.
Unresolved out-of-network billing conflicts can be costly
You run the risk of unpaid out-of-network balance medical bills that hurt your bottom line. This may include:
- Increased time in accounts receivable
- Lost payments
- Administrative time spent chasing payments or accepting write-offs
How can Naviguard help?
Resolution support
On behalf of your patients and their health plans, Naviguard works with you to help quickly resolve out-of-network balance medical bills.
Industry expertise
We use reference-based pricing, which means we set rates for medical services based on established and published rates. Our method is data-driven and objective.
Easy process
Naviguard makes it easy and quick for you to get involved. We simplify the process to save you time and frustration, aiming for fast claim reprocessing.
Trusted advisor
You can trust Naviguard to quickly resolve out-of-network balance bill disputes. Our team of experts has a proven track record of serving millions of health plan members, helping ensure the best outcomes.
Track record of success
By engaging with Naviguard, thousands of health care providers have expedited claim reprocessing. Our team of experts has successfully served over 8 million health plan members and thousands of employers.
1M+
Cases resolved1
12,500+
Health care professionals engaged across 160+ specialties
1Naviguard data Jan. 2021 – Dec. 2024. Resolved cases include all instances in which a member contacted Naviguard and the case was reviewed and negotiated or closed.
No Surprises Act
What you should know
The No Surprises Act (NSA) prohibits you from balance billing patients when federal law applies.
Learn more about your requirements and resources for the NSA.
Frequently asked questions
You can trust Naviguard, a UnitedHealthcare service, to resolve out-of-network balance bill disputes. Our expert team uses data and knowledge of reimbursement rates, having successfully served over 8 million health plan members and thousands of employers.
No, Naviguard is not a payer. Naviguard is a UnitedHealthcare service that uses expert negotiators to facilitate dispute resolution to effectively reduce out-of-network balance medical bills and expedite claim reprocessing.
Yes. Please submit a reconsideration within the UnitedHealthcare Provider Portal.
If you've submitted a claim reconsideration, you can check the status within the UnitedHealthcare Provider Portal claims tool.
Need help?
Connect with us through chat 24/7 in the UnitedHealthcare Provider Portal. For additional contact information, visit our Contact us page.