Further Enhancing NaviNet Open’s Ability to Tackle Payer-Provider
LOS ANGELES--(BUSINESS WIRE)--Jun. 20, 2018--
Inc. (NASDAQ: NH) announced two exciting new product launches - Provider
Initiated Document Exchange and Authorization Appeals - on the nation’s
leading payer-provider collaboration platform, NaviNet® Open, at the
2018 AHIP Institute and Expo.
Today, the exchange of information between health plans and providers is
a slow, manual, and tedious process that still relies on paperwork sent
via fax and mail. Health plans and provider offices expend considerable
time and effort sending administrative and clinical information
manually, without confirmation that the information is received or
relevant upon receipt.
NaviNet Open Document Exchange automates the exchange of administrative
and clinical information in real-time between health plans and
providers. This allows health plans to send documents to provider
offices and request a response if desired. This facilitates a wide range
of use cases, such as sharing risk adjustment information, quality
measurement data, performance reports, and closing care gaps – workflows
that have a major impact on a health plan’s business.
Adding onto these extensive capabilities, NantHealth is pleased to
announce the launch of NaviNet Open Provider Initiated Document Exchange.
Provider Initiated Document Exchange now enables provider
offices to send documents to health plans without the health plan having
to request them. A health plan simply selects the types of
documents it would like to receive. Provider offices are then able to
send these documents electronically. Setup is fast and simple so that
health plans can start automating manual workflows right away.
With this launch, NaviNet Open Document Exchange now supports the
broadest array of payer-provider collaboration use cases imaginable,
including medical records collection, program enrollment, and many
existing manual payer-provider workflows.
NantHealth also announces the launch of NaviNet Open Authorization
Appeals. Authorization Appeals now lets a provider office appeal a
denied authorization electronically. Within the Authorization’s
workflow, the user simply searches for the denied authorization, selects
the reason for appeal, and submits this information to the health plan,
along with any supporting documentation. The current authorization
appeals process is manual and onerous, with 84 percent of physicians
reporting the administrative burden as “high or extremely high”
according to the American Medical Association. Currently, manual
authorization workflows are also among the costliest administrative
NantHealth is thrilled to offer these innovative solutions on NaviNet to
facilitate greater operating efficiency, lower costs, and enhanced
provider satisfaction. “Several of our health plan partners have
expressed their enthusiasm for these collaboration solutions,” said Greg
Dunko, SVP of Product and Program Management. “Our customers have played
a significant role in their development, allowing us to continue paving
the way for stronger communication between health plans and providers.
We’re excited to be rolling these out.”
For more information about the significance and potential applications
of Provider Initiated Document Exchange and Authorization Appeals,
please visit the NantHealth booth #824 at the 2018 AHIP Institute and
Expo or visit us online at www.nanthealth.com.
About NantHealth, Inc.
NantHealth, Inc., a member of the NantWorks ecosystem of companies, is a
next-generation, evidence-base, personalized healthcare company enabling
improved patient outcomes and more effective treatment decisions for
critical illnesses. NantHealth’s focused portfolio exemplifies its
unique systems-based approach to personalized healthcare and integrates
novel analysis with large-scale, biometric and phenotypic data to track
patient outcomes and deliver precision medicine. For more information
please visit www.nanthealth.com.
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Source: NantHealth, Inc.
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