NantHealth Unveils New Collaboration Tools - Provider Initiated Document Exchange and Authorization Appeals
June 20 2018 - 3:24PM
Business Wire
Further Enhancing NaviNet Open’s Ability to
Tackle Payer-Provider Communication Challenges
NantHealth, Inc. (NASDAQ: NH) announced two exciting new product
launches - Provider Initiated Document Exchange and Authorization
Appeals - on the nation’s leading payer-provider collaboration
platform, NaviNet® Open, at the 2018 AHIP Institute and Expo.
Today, the exchange of information between health plans and
providers is a slow, manual, and tedious process that still relies
on paperwork sent via fax and mail. Health plans and provider
offices expend considerable time and effort sending administrative
and clinical information manually, without confirmation that the
information is received or relevant upon receipt.
NaviNet Open Document Exchange automates the exchange of
administrative and clinical information in real-time between health
plans and providers. This allows health plans to send documents to
provider offices and request a response if desired. This
facilitates a wide range of use cases, such as sharing risk
adjustment information, quality measurement data, performance
reports, and closing care gaps – workflows that have a major impact
on a health plan’s business.
Adding onto these extensive capabilities, NantHealth is
pleased to announce the launch of NaviNet Open Provider Initiated
Document Exchange. Provider Initiated Document Exchange now
enables provider offices to send documents to health plans without
the health plan having to request them. A health plan simply
selects the types of documents it would like to receive. Provider
offices are then able to send these documents electronically. Setup
is fast and simple so that health plans can start automating manual
workflows right away.
With this launch, NaviNet Open Document Exchange now supports
the broadest array of payer-provider collaboration use cases
imaginable, including medical records collection, program
enrollment, and many existing manual payer-provider workflows.
NantHealth also announces the launch of NaviNet Open
Authorization Appeals. Authorization Appeals now lets a
provider office appeal a denied authorization electronically.
Within the Authorization’s workflow, the user simply searches for
the denied authorization, selects the reason for appeal, and
submits this information to the health plan, along with any
supporting documentation. The current authorization appeals process
is manual and onerous, with 84 percent of physicians reporting the
administrative burden as “high or extremely high” according to the
American Medical Association. Currently, manual authorization
workflows are also among the costliest administrative
transactions.
NantHealth is thrilled to offer these innovative solutions on
NaviNet to facilitate greater operating efficiency, lower costs,
and enhanced provider satisfaction. “Several of our health plan
partners have expressed their enthusiasm for these collaboration
solutions,” said Greg Dunko, SVP of Product and Program Management.
“Our customers have played a significant role in their development,
allowing us to continue paving the way for stronger communication
between health plans and providers. We’re excited to be rolling
these out.”
For more information about the significance and potential
applications of Provider Initiated Document Exchange and
Authorization Appeals, please visit the NantHealth booth #824 at
the 2018 AHIP Institute and Expo or visit us online at
www.nanthealth.com.
About NantHealth, Inc.
NantHealth, Inc., a member of the NantWorks ecosystem
of companies, is a next-generation, evidence-base, personalized
healthcare company enabling improved patient outcomes and more
effective treatment decisions for critical illnesses. NantHealth’s
focused portfolio exemplifies its unique systems-based approach to
personalized healthcare and integrates novel analysis with
large-scale, biometric and phenotypic data to track patient
outcomes and deliver precision medicine. For more information
please visit www.nanthealth.com.
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NANT MEDIA CONTACTJen Hodson,
562-397-3639jhodson@nantworks.com
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