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Provider Portal

HealthAxis Group’s Provider Portal enables Providers to submit, track and receive updates on authorizations; reducing administrative costs and eliminating the need for manual, paper-intensive tasks.

The Provider Portal is easy to use, with a dashboard that displays Announcements, Messages, Contracted labs, Authorization/Referral Highlights, Hospital Census data, and Activity Log details.

KEY FEATURES

  • User Setup Options
    Physician Admin, Vendor Admin, IPA Admin, Specialist/Exception Specialist Admin
  • Authorization
    Authorization Maintenance, Modification Request, Extension Request, Appeals & Letters
  • Claims
    CHDP Claims, Demand EOB/EOP, Appeals
  • Eligibility Search & Inquiry
  • Provider Search
  • Provider Directory
  • Member Problem Management
  • Document Management Solution
  • Regulatory Memo Tracking
  • OEV
  • Member Notes
  • Member Attachment
  • Portal Activity Report
  • Appeals and Grievances

Care Management Portal

The HealthAxis Care Management Portal enables users to manage patient cases, identify conditions, and build rules against claims. The portal is designed to support utilization management functions, referral management processes, case management workflows and disease management programs.

Successful care management will reduce the cost and increase the quality of care for those individuals identified in the program. HealthAxis Group’s Care Management Portal is patient-centric and addresses data integration, patient intake, care coordination and performance measurement.

HealthAxis care management portal

KEY FEATURES

  • Utilization Management Functions
    Prior Authorization, Criteria Application, Medical Review, Appeals, & Metrics Reporting
  • Referral Management Processes
    Notification, Specialty Referrals, Network Management, & Metrics Reporting
  • Case Management
    Screening Tools, Care Plans/Collaboration, Patient Communication & Education, Transition of Care Programs
  • Disease Management
    Stratification/Identification, Automated Enrollments/Task Creation, Assessment & Care Plans

Member/Enrollment Portal

HealthAxis Group’s integrated Member/Enrollment portal enables enrollment and member management. This includes access for members, dependents, administrators, and providers. The Member/Enrollment portal is completely configurable and easily maintained. It offers total flexibility for integration with existing health plan portals and can also be fully integrated with back-end benefits platforms.

The HealthAxis Member Portal delivers members’ healthcare and benefits information in an online, secure environment. Our self-service portal offers a configurable user design and real-time integration with other HealthAxis systems or third parties. Our portal allows you or your members to customize their portal, making it unique to their organization or plan.

KEY FEATURES

  • Unique configurability at multiple levels and down to the member
  • View eligibility, claims status, and accumulators
  • View plan descriptions
  • View EOBs
  • Update demographics
  • Find a doctor
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