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Features and benefits

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Exclusive Intelligent Eligibility feature

Intelligent Eligibility allows you to automatically identify and highlight common data errors. It automates manual business processes such as: checking for Medicare secondary payer information, part C/Advantage plans, gaps in coverage, restricted coverages and more.

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Strong regional track record

Since 2001, Optum Healthia Exchange (formerly Healthia Exchange) has provided Midwest states the only complete and comprehensive technology for accessing health insurance eligibility and benefit information for MN payers, including those without EDI capabilities.

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Integration with providers’ existing systems

With Optum Healthia Exchange, you can keep your core systems, with no disruptions or required investment in new hardware. All information exchange is reliable, secure and compliant with HIPAA privacy and security regulations.

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Key takeaways

  • Access real-time eligibility information on demand
  • Batch runs of patients/encounters
  • Real-time eligibility integration
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