Health eConnex’s (HeC’s) approach to solving business needs involves the utilization of proven technologies, incorporation of proprietary technologies and enhancements, expert consultation, and specialized service and support. Our innovative outsourcing solutions provide a comprehensive range of services from which to choose.
Universal services are those that benefit any business interested in document management and eliminating the burden of processing paper forms. HeC offers complete mailroom, scanning, OCR, image storage, Web-based retrieval, and paper-to-EDI conversion services.
Core services include an EDI gateway which provides connectivity, format translation, trading partner management, access to portal services and facilitates HIPAA compliance. Claim validation services such as eligibility, PPO repricing, rules-based claim edits, and online claim repair are also Core services.
Together, Universal and Core services provide a single pipeline for processing any paper form, EDI format, batch or online transaction for any payor, provider, or third-party processor.
HeC’s innovative Plus services take outsourcing to the next level and allow customers to maximize their administrative cost savings through the auto adjudication of medical and dental claims, and payment distribution processing that provides ERA / EFT routing and distribution with practice management system integration.
Advanced cost containment services directly impact the bottom line and allow our customers to achieve more than just administrative cost savings. These services help contain out-of-network charges, and prevent overpayment of claims do to coding errors, unbundling, upcoding, and indistinct duplicate claims.