RelayHealth, a leading provider of healthcare connectivity services, operates as a neutral partner in an open network environment, offering connectivity services and integration among all organizations, systems, and solutions. Its intelligent network is designed to streamline clinical, financial and administrative communication between patients, providers, payors, pharmacies, pharmaceutical manufacturers, and financial institutions.
Now, the company has announced the availability of its new TestTrack5010SM for Payors tool for health insurers to use. Part of RelayHealth`s suite of 5010 Compliance services, TestTrack5010 is a unique, Web-based solution. It helps health plans to test processing of HIPAA 5010 medical claims, eligibility and other 5010 transactions using their own production data. With this testing service, health plans will be able to reduce the amount of time and effort required to test the new government-mandated electronic transaction set by up to 75 percent.
Beginning Jan. 1, 2012, all payors and their trading partners, including healthcare providers, are required to use the ANSI X12 version 5010 transaction set to send and receive claims and other administrative data and this transition to the 5010 standard is not only costly but also cumbersome. The most difficult part of this changeover will be testing their systems to ensure that they can accommodate 5010 transactions.
Here, RelayHealth steps in as the only company offering a free testing service that enables its health plan customers to use live data sets to test for HIPAA 5010 compliance.
Payors can process their own transaction types in batch and real-time through TestTrack5010, which features HIPAA-compliant protection for personal health information (PHI).
The TestTrack5010 service also allows users to:
* Perform gap analyses by comparing 4010 and 5010 transaction content
* Convert 4010 files to 5010-compliant transactions
* Create benefit-specific 5010 test scenarios
* Review transaction details of selected items within batched claims
“The introduction of TestTrack5010 demonstrates RelayHealth`s ongoing leadership role in helping the healthcare community make the challenging transition to the new transaction standards, as well as the even more demanding switch to ICD-10 diagnostic coding that will follow,” said Jim Bodenbender, president of RelayHealth`s Provider and Consumer Solutions. “By providing this service, we can help payors efficiently achieve 5010 compliance which, in turn, will ensure they are able to sustain their service levels for their submitting providers.”