Streamlining the flow of healthcare information

Streamlining the flow of healthcare information

HealthXnet is a health information exchange designed to streamline the flow ofinformation among health plans, hospitals, physicians, and other providers.


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Eligibility and Benefits Inquiry


Determine health plan member eligibility, plus obtain specific information regarding PCP assignment, service level copays, remaining deductible amounts, and other detailed benefits information. Please refer to HealthXnet's Payer List for currently available eligibility inquiry health plans.



Batch Medicaid Eligibility for Self Pay


HealthXnet's Batch Medicaid Eligibility tool allows you to find out quickly and easily how many of your self pay patients are actually covered by Medicaid. This tool is included with your Eligibility and Benefits Inquiry subscription.



Claim Status Inquiry


Identify the status of a specified patient's claim from your organization. Response details vary by health plan but can include check number, payment amount, service line payment itemization, and (when applicable) detailed denial or payment adjustment reasons.

 

Electronic Claims Management


HealthXnet's ECM solution can help your healthcare business overcome rejections, delays, denials, and any other obstacle between you and your reimbursements. Take the stress out of claims submission and payment. Your claims pass through an extensive system of edits to ensure that clean claims are delivered to payers the first time. Our powerful claims tracking feature eliminates lost claims by reporting when your claims are received, delivered and accepted by payers. If rejections do arise, the online tools allow you to research, edit, and resubmit your claims quickly.


Connect to thousands of payers, plus get FREE professional or institutional claim submissions to Presbyterian Health Plan and Molina Healthcare of New Mexico with your paid subscription. Find the revenues you've been missing with HealthXnet's Electronic Claims Management solution!


Electronic Remittance Advice (ERA)


Access to ERAs from available payers is included with your Electronic Claims Management subscription.