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Get Quick and Easy Access to What Your Patients Will Owe and if the Service Needs Authorization
Act
immediately
Effective date
Not stated in the notice
Identified
Oct 3, 2026
Summary
Horizon Blue has launched a self-service online tool (Eligibility and Benefits Cost Share Estimator) in NaviNet for Commercial Braven Health plans (member IDs containing "3HZN") that allows providers to check patient eligibility, estimated out-of-pocket costs, and prior authorization requirements without calling Provider Services. Billing teams should transition to using this tool for faster access to pre-service member information at the diagnosis, CPT, or HCPCS code level.
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What to do
immediately · 5 steps
01Billing team staff should log into NaviNet and register for the Eligibility and Benefits Cost Share Estimator tool training webinar (contact Network Specialist or Hospital Relations Representative if unable to attend scheduled sessions).
02For all Commercial Braven Health plan inquiries with member IDs containing "3HZN", use the Cost Share Estimator tool instead of calling Provider Services to check eligibility, benefits, estimated patient cost-shares, and prior authorization requirements.
03Retain the reference number provided by the tool for records.
04For member IDs that do NOT contain "3HZN", continue calling the Provider Services number on the member's ID card.
05Update internal workflows and staff training materials to reflect the new self-service process.
Original notice
Get Quick and Easy Access to What Your Patients Will Owe and if the Service Needs Authorization
horizonblue.com · Always check the source before changing claims.