A single platform to support any
By leveraging Smart Trading platform’s unique front-end position and the “safe harbor” 277/275 EDI transactions, TM Attachment Module enables payers to exchange electronic attachments with all providers across multiple channels, facilitates receipt and routing of medical documentation to existing back-end systems and brings visibility and clarity to the entire end-to-end documentation lifecycle.
A cloud-based web service, it enables providers to track and respond electronically to all payers requests for information, through web portal or directly from EMR. It brings cross-enterprise task based workflow with provider self-service signup and payer approval, email notifications, request user assignment and full request lifecycle visibility.
Enables payers to electronically request, and providers to electronically respond to claims and member requests for information. With support for “safe harbor” 277/275 EDI transactions, the technology facilitates seamless exchange of medical documentation with a true payer and provider solution across a multitude of communication channels.
Everything needed for an end-to-end electronic exchange and management of attachments
The solution offers significant cost reduction for providers by offering multiple avenues to electronically receive and respond to payer attachment requests, using the EDI 277/275 transactions, a web-based portal, or directly from the document management systems through integration with CollabLynk Virtual Printer or the emerging FHIR standards.
Both payers and providers gain total visibility and clarity of next steps in the end-to-end attachment lifecycle. Payers can generate attachment requests, monitor provider responses and spot problem areas to pro-actively take action. Providers can track open requests with clear understanding of requested medical documents, balance internal resources with task assignments and due dates and get insights into submission problems.
By leveraging a unique edge of enterprise position, the solution is able to collect medical documentation across all communication channels and intelligently route them to existing back-end systems. This allows payers to scale the model to new emerging value based care initiatives without disrupting internal processes, whether it is claims adjudication, quality score calculations or risk adjustment.