Exchange information about money that's due and money that's paid.

Registration and Eligibility

These interfaces are used in registration and eligibility processes.

Outgoing Admission Notification read the specRead the technical specs

Used to notify a payor or health plan about an admission for one of their covered a patients. The ANSI X12 278 transaction is used for both the original notification of the admission and the payor response that might follow. Such a response might contain the reference/authorization number to be sent later on the claim
Current integrations include...
  • Aetna
  • Availity
  • Change Healthcare
  • Cigna
  • Experian Health
  • Healthcare IP
  • Horizon
  • Medicaid
  • Optum
  • Pelitas
  • Post-n-track
  • Quartz
  • Relay Health
  • The Advisory Board
  • UnitedHealthcare

Batch Eligibility Query (BEQ) read the specRead the technical specs

Outbound BEQ request and Incoming BEQ response. BEQ is a way for plans to submit batches of individuals for verification of various eligibilities.