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HTP Transaction ManagerSM

A complete front-end workflow solution that efficiently manages all inbound and outbound data sources (EDI, paper, and Web), and every mandated HIPAA transaction in both batch and real-time modes. HTP also has integrated claim routing capabilities to manage the repricing of claims before they are entered into your claims system.
 

HTP Transaction Manager

HTP Transaction Manager enables healthcare plans and administrative service providers to exchange secure electronic healthcare information through one common and automated workflow.

Featuring a comprehensive electronic transaction management solution with an integrated EDI translator and a comprehensive healthcare data repository, the HTP system manages all HIPAA transaction data sets "out of the box," offering a complete plug-in solution for fully-compliant electronic transaction capabilities.

Only HTP can give you:
  • The most robust healthcare X12 transaction processing engine available, featuring a comprehensive healthcare data repository of HIPAA transaction data sets and implementation guidelines.
  • A secure solution for exchanging protected healthcare information in standardized formats, offering real-time and batch processing over the Internet and private networks.
  • A patented, fully integrated healthcare transaction processing system for seamless connectivity directly with providers, clearinghouses, PPO networks, RHIOs and your scanning OCR vendor.
  • An ongoing reduction of administrative costs, widespread workflow efficiency improvements and streamlined channels of communications for measurable returns now and in the future.
 

HTP Claim Router

HTP Claim Router manages the re-pricing of claims before they are passed to the claims management system for adjudication. HTP Claim Router checks to see if a claim requires re-pricing and if it is to be done internally by the customer or externally by the PPO.

If external re-pricing is required, the HTP Claim Router routes the claim to the PPO in the appropriate format (X12 EDI, proprietary EDI or printable PDF file). Optionally, the PPO may manually re-price the claim online via a Web-enabled front-end. When the re-priced claim is returned, it is matched to the original claim before being passed on to the claims management system for adjudication.

Claims awaiting re-pricing may be viewed in the HTP Data Repository by authorized internal or external users. Also included are standard reports to assist with monitoring the status of pending claims files and the re-pricing performance of PPOs.
 

HTP Provider Portal

HTP Provider Portal enables Web-based access to claims, eligibility, plan benefit and related data contained in the HTP Data Repository.

A service-enhancing module, the HTP Provider Portal delivers to users a consistent, easy-to-use display of information for responding to member or provider inquiries. Customer service representatives serve customers without logging-on to the claims management system, or other administrative systems. This can be a significant cost savings for users of claim systems that charge on a per user seat basis. Authorized providers may also be granted access to the HTP Provider Portal to view the exact same information as your internal staff for their patients.

The HTP Provider Portal and HTP Data Repository operate independently of your claims management system. This isolates your claims system from the influx of provider claim status, eligibility and benefit plan inquiries. Claim systems have not been designed to support the high volume of transaction volume and using the HTP Provider Portal may avoid the need for costly hardware and/or software upgrades to support this activity.
 

Employer Portal

The HTP Employer Portal supports the information access and enrollment management needs of benefit administrators, employers and employees. HTP's solution goes far beyond the basic 24x7 web access availability. We firmly believe our solution delivers a faster, effective and accurate approach to enrollment health plan administration.

 

Employer Features

  • Online Web based Enrollment of Employees and Dependents (Add, Change and Terminate).

  • Online Web based review of claims and eligibility.

  • Request ID Cards for Employees and Dependents.

  • Web based upload and download of EDI files (e.g., submit 834/Enrollment files).

Employee Features

  • Online Web based Enrollment of Employee and Dependents (Add, Change, and Terminate).

  • Online Web based review of claims and eligibility.

  • Request ID Cards for Employees and Dependents.

Benefit Administrator Features

  • 24 x 7 availability to customers (employers and members).

  • Efficient ability to process enrollment requests from employer and members.

  • Opportunity to pro-actively market superior administrative capabilities to prospective and current employer groups, agents and brokers.

All enrollment records, whether supplied via EDI (i.e., 834 transactions) or data entered via the web portal, are processed through the same workflow. Each record is retained in the HTP Date Repository and placed in a common staging area for review and approval by the health plan administrator prior to being marked as authorized for release into the health plans claims management system.
 News | Events
May 20-23, 2008
 HFMA West Virginia Chapter Mid-Atlantic Regional Meeting
Sponsor
Pipestem, WV
May 21-23, 2008
 HFMA Michigan Chapters 2008 Annual Spring Conference
Exhibitor
Mt. Pleasant, MI
June 9-11, 2008
 Ohio Hospital Association Annual Meeting
Exhibitor
Columbus, OH
 Revenue Analysis  
LOOKING FOR PROOF OF RESULTS?

HTP will perform an impact analysis of your self-pay accounts to identify valid coverage that may have been missed.

For example, HTP RevRunner is consistently finding 3 to 5 percent of accounts that were previously identified as self-pay have valid Medicaid coverage.

HOW MUCH ARE YOU MISSING?

Call 888-487-8010 x2246 for more information on scheduling an impact analysis for your organization.
 For More Info  
To schedule a demonstration or to purchase any of our products, please contact HTP direct at (888) 487-8010 x2246, send an email message to sales, or submit an inquiry on our contact page.
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