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Payer Solutions Overview

In order to compete in today’s environment, insurers are developing products that offer members a choice of benefits, choice of delivery systems and choice of payment options.  As plan designs have grown increasingly complex, this presents a huge challenge to core IT systems.  Payers are turning to vendor partners to help ease sources of technology strains and develop solutions for managing provider EDI activity.

Passport offers this technology with comprehensive, enterprise level, e-health solutions. We specialize in “payer–to-provider” connectivity, offering one of the largest direct payer clearinghouses in the country. Passport has been offering critical technology for health care financial and process solutions since 1996, and currently connects approximately 51% of U.S. hospitals, more than 10,000+ providers and more than 152,000+ active users to health plans representing more than 250 million covered lives.

Partnering with Passport will help accelerate achievement of a health plan’s corporate EDI goals that result in:

  • Reduced administrative expenses
  • Increased EDI volumes
  • Improved adjudication processes
  • Stronger provider relationships
  • Compliance with HIPAA and federal mandates

 Payer Solutions Include:

  • Direct connections for real-time eligibility and coverage information
  • Outsourced EDI solutions
  • Patient estimation tools
  • Portal services
  • Call center analytics

 

View Descriptions of These Solutions

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    Passport, HealthWorks, Nebo Systems, Stat Technologies and Data Systems Group are all part of Experian.