This is replica of NaviNet screen. Below values entered usually come through SAML. When you hit Go to WholeHealth Networks, Inc. screen button, this is where user enters into WholeHealth Networks, Inc. from NaviNet.
What is the requested Start Date for this authorization?
RadDatePicker
RadDatePicker
Open the calendar popup.
Calendar
Title and navigation
Title and navigation
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select
- Choose Office Location -
Parkinson Pavilion 3401 NORTH BROAD STREET 9TH FLOOR
Start Over