Emdeon Hosted Real-Time

Designed to overcome the limitations of government entities' existing systems, Emdeon Hosted Real-Time offers the functionality for real-time healthcare transaction exchange in HIPAA-compliant formats and enables real-time eligibility and benefits inquiry and response capability. Emdeon Hosted Real-Time functions as a data-hosting resource on behalf of government entities, eliminating the need for expensive upgrades in systems and technology.

Sophisticated real-time eligibility and benefits information, HIPAA-compliance support and the ability to access our network of more than 340,000 providers make Hosted Real-Time the logical choice for healthcare connectivity needs.

Emdeon Hosted Real-Time enables sophisticated inquiry and response transactions including:

Real-time eligibility and claim information:

• Beneficiary eligibility status
• Primary Care Physician name
• Claim status

Real-time benefit information, where applicable:

• Copay amount
• Deductible amount/unmet amount
• Coinsurance level
• Out-of-Pocket
• Coverage limitations and exclusions
• Benefit coverages

Features

• Data hosting for real-time inquiry and response transactions
• Capability to provide rich beneficiary eligibility and benefit information
• Produces HIPAA-compliant responses to provider inquiries
• Short implementation cycle and ongoing customer support

Benefits

• Lowers costs by automating provider interactions including eligibility, benefits and claim status
• Achieves HIPAA compliance by transacting with the provider community using X12 standards
• Improves provider relations through self-service tools
• Creates measurable savings from lower transaction costs and reductions in call center volumes