RelayPayor overview
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Transcript of RelayPayor overview
“We did not know how
we were going to create
5010 data for our testing.
TestTrack will be a great help
in preparing for 5010.”
– Regional Blues Plan
RelayHealth, McKesson’s connectivity business, offers real-time solutions to streamline interactions
throughout healthcare, connecting patients, providers, pharmacies, and payors. The net result:
improved care, faster access, lower costs and enhanced bottom lines.
RelayHealth
• Serves more than 2,000 hospitals, 200,000 physicians, and connects with more than 1,800 health
plans, and securely processes more than 12.8 billion financial and clinical transactions annually.
• Pioneered online communications with physicians and offers the most advanced practice
connectivity solutions available.
• Hospital solutions provide a secure, accessible infrastructure with the most evolved HIE
solution available.
• Pharmacy solutions support more than 90% of the nation’s pharmacies with customized solutions
that improve patient safety, increase revenue, and enhance the overall patient experience.
• Pharmaceutical manufacturer solutions help to improve healthcare through increased
medication safety while also marketing products with innovative promotional solutions.
RelayHealth Payor Services – Managing and simplifying interactions
between providers and health plans
RelayPayor products support the business of healthcare, which includes managing interactions
between providers and financial partners to achieve operational goals. To support quality care
improvements and reduced administrative costs across the healthcare industry, RelayHealth
operates as a neutral partner in an open network environment, offering connectivity and
interoperability among all organizations, systems and solutions.
RelayPayor™ RelayHealth Payor Services
Health Connections Brought to Life™
For more information, call (770) 237-7734, or send an inquiry to [email protected].
www.fasttrack5010.com
www.testtrack5010.com
RelayPayor
Payors continually seek opportunities to refine operations and create differentiation in a
competitive market. With enhanced connectivity to payors, members, and providers, RelayHealth
provides innovative solutions to enhance operations and increase market share.
RelayHealth – Leading the Industry with 5010 Solutions for Health Plans
www.fasttrack5010.com was developed to simplify the
changes required of payors for 5010, as well as facilitate testing.
FastTrack5010 provides educational resources to help prepare
payors for HIPAA 5010 development transition.
www.testtrack5010.com, an industry-leading online testing
tool and information resource, is available for pre-testing 5010
for payors. It helps payors simplify 5010 transactions, testing and
implementation, and performs gap analysis. It can help to reduce
development time by as much as 75%, and reduces the chance
of errors.
TestTrack5010 includes:
• Test data creation – Pull live claims to test current system gaps
• Connection utilities – Provides standardized connections that can be created directly from the
system
• Batch claim details – Permits review of transaction details after claims have been selected
• Real -time transaction – Allows real-time transaction exchanges for testing in a CORE Phase II
compliant system
Level 1 compliance deadline December 21, 2010 -- Providers can send test files to
RelayHealth PCS
Level 2 compliance deadline December 31, 2010 -- RelayHealth will begin end-to-end testing
with trading partners January 2011
ReLayHeaLTH PayoR SeRvIceS
PRovIDeS:
• EDI solutions and transactions processing
• Compliance with HIPAA 5010 and other
regulatory requirements
• Largest direct provider-to-payor network
• Tailored Payor Connectivity Services (PCS)
solution & seamless integration
• Hosting services
• Award winning customer service & best in
class support
• CORE Phase II certified
PayoR connecTIvITy SeRvIceS
(PcS) SoLuTIon IncLuDeS:
• PCS HIPAA-compliant Intelligent Gateway
• Scalable Software as a Service (SaaS)
platform
• Modular design which enables expansion of
applications and functionality
• Payor-customizable pre-adjudication
validation and routing
• Ability for submitters to correct claims prior
to submission
• 4010-to-5010 conversion service
• 5010 testing tool
• ICD-9 to ICD-10 compliance
• Payor and provider web reporting
• CORE Phase II certified