End-to-End Solution

Ingenix offers an end-to-end solution that includes Electronic Data Interchange (EDI) connectivity and eBilling compliance with state mandates, as well as efficient claim processing and electronic payment. This solution will help provide information access and exchange critical financial and clinical data in real-time, directly and in batches, through secure transaction gateways and portals.

Value

• Reduce cycle times and high costs involved in manual mail screening and processing
• Increase the efficiency and value of thousands of information exchanges per day
• Accurately process and index electronic attachments from multiple submission formats

Comprehensive, Integrated Connectivity Options

We provide direct connections to most trading partners and can help you outsource connections to providers or their clearinghouses if appropriate. Our eBilling solution enables universal connectivity between providers, payers, and state jurisdictions. All state requirements for EDI reporting can be accomplished through a single connection point. When combined with other Ingenix solutions, you can rely on one vendor to provide best-in-class solutions that provide your business with the flexibility it needs to grow. Ingenix also offers Electronic Funds Transfer (EFT) and bill payment capabilities from OptumHealthSM Financial Services—making the offering a truly integrated solution from initial data submission to payment and back-end reporting.

Interoperability

Ingenix is reinventing the clearinghouse to go beyond connectivity to interoperability. We edit incoming electronic medical bills to check that all required data is provided, accurate, and consistent. Edited results are communicated electronically to providers and payers. By standardizing disparate and/or inconsistent data, it is easier to process the information and reduces cycle times.