Eligibility checks, referrals and claims don’t have to be a drain on practice resources. With NextGen’s Real-time Transaction Server, physician practices can verify a patient’s eligibility and insurance coverage, request referrals or perform claim status inquiries, all in a minute or less.

By acting as an interface trading hub that connects trading partners, payers and clearinghouses with NextGen products, NextGen RTS simplifies healthcare administration and allows physician practices to streamline internal processes, enhance practice productivity and improve cash flow.

Available with both NextGen EMR and NextGen EPM, practices that use RTS can:

   
 
Reduce A/R days by eliminating claim rejections and determining eligibility prior to the patient encounter
Increase operational efficiency through integration with WorkLog Manager’s auto-creation and assignment of tasks
Eliminate manual processes for performing eligibility, referral and claim status inquiries
Save time and money associated with lengthy A/R days, double entry of information and unnecessary phone calls to insurance companies and patients
Automate 270, 271, 276, 277, and 278 transactions
Obtain a payer’s authorization number based on various criteria, including CPT4 or ICD9 codes, date ranges, and providers so a PCP can refer a patient to an authorized specialist.
Save returned results directly in the patient’s electronic chart
Provide comprehensive reporting capabilities for all submitted transactions
   
 
   
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