A Data Network to Tackle Real-Time Eligibility and Claims Along with Many Other Health Data Problems

Two of the biggest billing problems in U.S. healthcare involve coverage, eligibility and claims. First of all, will the insurer pay for the treatment the doctor requests? Second, how much is covered and how much does the patient have to pay out-of-pocket? Avaneer Health, a company created by a consortium of major payers and health care providers, is trying to solve these problems and other administrative inefficiencies once and for all. Moreover, the network and platform they have created can solve many of the data sharing issues in healthcare because you connect once to the network and you’re plugged in to the entire network of available data. According to CEO Stuart Hanson, clients of Avaneer Health are subscribing to the first solutions on the network to determine coverage and eligibility for a procedure in three and a half seconds. Furthermore, before the patient checks out from a visit, the doctor knows how much the payer will cover and can accept the patient’s out-of-pocket payment right away. Besides saving time and trouble, this service spares the patient from unexpected denials of coverage, and saves a huge amount of money on billing. Hanson also highlights other common use cases for the Avaneer Health network and what use cases they will be launching next. Watch the video for insights from Hanson, including Avaneer Health’s plans for a “solution exchange” where third-party applications leverage the connectivity and common utilities of the network. Learn m...
Source: EMR and HIPAA - Category: Information Technology Authors: Tags: Analytics/Big Data Health IT Company Healthcare IT Hospital - Health System Interoperability Revenue Cycle Management Avaneer Health Health Data Sharing Healthcare Billing Healthcare Claims Healthcare Eligibility Healthcare IT Video Source Type: blogs