Transaction Exchange Health Plan Services Features

Key features

Our goal is to make each business partnership a mutual success rather than dictate the terms and configuration of your operating model. We strive to implement processes that facilitate this success for both the present and the future by offering:

• Minimal payer implementation fees with competitive transaction rates
• Exceptional access—more than ninety gateway clearinghouse connections
• Extensive clearinghouse payer editing—includes duplicate checks, provider ID requirements, coding, and claim accuracy checking
• Superior customer account management
• Comprehensive agreement including 270/271, 276/277, 835, and 837I
• Proven payer/provider marketing campaign capabilities
• Easy-to-use provider applications—direct data entry, file upload, electronic claims tracking, eligibility, claim status, ERA's, and patient statements
• Customized payer programs including online enrollment, online customer chat feature, and special discount provider pricing for target groups
• Turn-key integration with OptumInsight technology solutions—ClaimsManager and Transaction Manager