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To facilitate compliance with the transactions and code sets regulations of the Health Insurance Portability and Accountability Act (HIPAA), healthcare organizations need an integrated electronic data interchange (EDI) toolset that can handle the intricate aspects of information management.
QNXT™ Connect is a proven set of tools and Web services that enables electronic exchange of HIPAA-ready standard transactions between a health plan and its trading partners. QNXT Connect supports batch and real-time processing of eligibility benefit inquires and responses; claim status inquiries and responses; referral certification and authorization requests/responses; benefit enrollment and maintenance transactions; claims submissions for professional, institutional, dental and pharmacy; claims payment/remittance advice; and payroll-deducted and other group premium payment for insurance.
Built on Microsoft .NET, Windows Services and a distributed architecture, QNXT Connect is an add-on product that complements the TriZetto QNXT core administration system.
QNXT Connect benefits:
- Reduces the cost of HIPAA transactions and code-sets implementation
- Ensures processing accuracy
- Provides sophisticated audit trails
- Positions payers for future healthcare technology
- Integrates quickly with the QNXT core administration system
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Information
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For more detailed information, please call 1-800-569-1222. |
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