Attach and Comply
with Confidence

A single platform to support any
attachment requirement

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Attachment Management

Are manual paper-based attachments increasing your administrative costs and creating tension within provider networks? Are your value-based initiatives hindered because of limited methods for data sharing and exchange?

Attachment Management introduces a new approach that enables secure exchange of electronic attachments, automates cross-enterprise workflows, drives provider adoption and cost-effectively integrates with existing payer back-end systems. Payers can tighten reimbursement processes and providers can comply at lower cost.

The solution consists of key components: Transaction Management Attachment Module – an add-on to the Smart Trading platform, Attachments Service Module — a provider-facing, all payer, cloud-based web service and CollabLynk – enabling secure data exchange between all parties involved.

Transaction Management Attachments Module

  • Support for claim attachments (277/275) and member requests for information
  • Setup internal workflow for review of attachments
  • User dashboards for visibility and analysis
  • Automates processing and integration of attachments into payer existing back-end systems
  • Leverages Smart Trading platform investment

Attachment Service Module

  • Respond electronically to solicited attachment requests
  • Support for structured or unstructured documents
  • Send solicited and unsolicited claim attachments
  • Request lifecycle tracking with internal user tracking
  • Attachment receipt and notification
  • Real-time dashboards for visibility and analysis

Solution Spotlight

  • Transaction Management Attachments Module

    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.

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  • Attachment Service Module

    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.

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Currently, over 20-30% of all claims will require some type of supporting documentation from a provider or hospital system. And according to CAQH CORE, each claim could cost $6 or more to receive, review, prepare and send (using traditional methods like mail and fax). It is now possible to link any uploaded attachment in any format to the right plan, for the right member, using the right process while ensuring operational efficiency through end-to-end tracking and transparency.

Enables Electronic Attachments

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

  • Securely connect to systems and desktops and of any provider
  • Support all standards including the emerging HL7 FHIR
  • Broker medical documentation interchange
  • Integrate with existing back-end payer processing systems

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Drives Provider Adoption

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.

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Cross-Enterprise Workflow

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.

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Deep Payer Integration

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.

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