News & Events

Ingenix Announces Innovative Direct Health Care Provider-to-Payer Connectivity

Monday, February 26, 2007

Ingenix Health Information Exchange Solutions Offers
Next-Generation Data Connectivity for All Health Care System Participants

NEW ORLEANS, La. , February 26, 2007 — Ingenix, a leading health information technology company, today launched its innovative Health Information Exchange Solutions that is expected to help physicians, hospitals, health plans and administrators operate more efficiently by enabling real-time, 24/7 access to and exchange of critical financial and clinical data. Ingenix will showcase three new products and discuss its long-term plans to improve data exchange within the health care system at HIMSS ® ’07 at the Ernest N. Morial Convention Center in New Orleans at Booth #3927.

Ingenix Health Information Exchange Solutions is a portfolio of integrated health information technology and connectivity offerings that will make data accessible to all health care system participants in real time using open networks and products. All clinical and financial data will comply with Health Insurance Portability and Accountability Act (HIPAA) and electronic data interchange (EDI) standards. Ingenix offers comprehensive EDI solutions that let providers and payers exchange information both directly and through a clearinghouse.

Ingenix Health Information Exchange Solutions includes three new products:

  • Ingenix TransactionManager – This software solution helps providers optimize direct transaction exchange with payers and clearinghouses by scrubbing and adjusting transaction content and formats, screening for HIPAA and payer companion guide compliance, triggering automated claims status and eligibility inquiries, and tracking transaction and reconciliation analytics.
  • Ingenix Connectivity Director – This technology helps payers improve data integrity and increase auto-adjudication rates. Ingenix software validates and normalizes received data, fixes errors, confirms eligibility, and then routes the screened transactions for processing. Ingenix offers this front-end transaction management function to payers as an outsourced service, or as integrated applications within payers’ own data centers.
  • Ingenix Transaction Director – This technology validates, routes, edits, remedies and reconciles eligibility- and claims-related transactions for payers. Clients can achieve increased auto-adjudication through its application and also strategic trading partner management based on its EDI reporting and analyses.

In addition, Ingenix Health Information Exchange Solutions includes transaction gateways and portals that serve as multi-payer interfaces where providers can submit claims, check patient eligibility, track status of claims, submit referrals and receive electronic remittance advices. Provider testing and certification services also enable pr