(formerly Emdeon eServices Hosted Solution)
Designed to overcome the limitations of payers’ existing systems, Emdeon Hosted Real-Time offers the functionality for real-time healthcare transaction exchange in HIPAA compliant formats and enables real-time eligibility and benefits inquiry and response capability. Emdeon Hosted Real-Time functions as a data-hosting resource on behalf of payer organizations, eliminating payers’ need for expensive upgrades in systems and technology.
Sophisticated real-time eligibility and benefits information, HIPAA-compliance support and the ability to access our network of more than 300,000 providers make Hosted Real-Time the logical choice for payer connectivity needs.
Emdeon Hosted Real-Time enables sophisticated inquiry and response transactions including:
Real-time eligibility and claim information
- Patient eligibility status
- Primary Care Physician name
- Claim status
Real-time benefit information:
- Copay amount
- Deductible amount/unmet amount
- Coinsurance level
- Out-of-Pocket
- Coverage limitations and exclusions
- Benefit coverages
Features
- Data hosting for real-time inquiry and response transactions
- Capability to provide rich patient eligibility and benefit information
- Produces HIPAA compliant responses to provider inquiries
- Short implementation cycle and ongoing customer support
Benefits
- Lowers costs by automating provider interactions including eligibility, benefits and claim status
- Achieves HIPAA compliance by transacting with the provider community using X12 standards
- Improves provider relations through self-service tools
- Creates measurable savings from lower transaction costs and reductions in call center volumes
