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HIPAA
QNXT™ Connect is a proven set of tools and Web services that enables electronic exchange of HIPAA-ready standard transactions between a health plan and its trading partners. QNXT Connect supports batch and real-time processing of eligibility benefit inquires and responses; claim status inquiries and responses; referral certification and authorization requests/responses; benefit enrollment and maintenance transactions; claims submissions for professional, institutional, dental and pharmacy; claims payment/remittance advice; and payroll-deducted and other group premium payment for insurance.

Built on Microsoft .NET, Windows Services and a distributed architecture, QNXT Connect is an add-on product that complements the TriZetto QNXT core administration system.

QNXT Connect benefits:

  • Reduces the cost of HIPAA transactions and code-sets implementation
  • Ensures processing accuracy
  • Provides sophisticated audit trails
  • Positions payers for future healthcare technology
  • Integrates quickly with the QNXT core administration system


Information
For more detailed information, please call 1-800-569-1222 or click on the link below.
Request more information     Contact a sales rep

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