Advanced Health Information Network (AHIN) offers real-time functionality for hospitals and physicians, delivering current patient information while helping physicians improve business function efficiency. The secure portal seamlessly connects healthcare professionals with a real-time repository for:

  • Eligibility
  • Claims
  • Claims status
  • Remittance advices
  • Fee schedules
  • Claim-auditing tools
  • Detailed reporting

Inherent functionality includes claim submissions, claims status, patient eligibility and real-time error correction. Healthcare professionals can verify eligibility for select payers and access key information such as deductibles, co-pay and stop loss/coinsurance based on type of service.

Additional benefits include:

  • Claim submission integration (individual or batch) with delivery confirmation
  • Direct Data Entry (DDE), allowing smaller practices/solo practitioners to create and submit HIPAA-compliant electronic claims
  • Secure transfer of import-ready records from provider to provider
  • Claim edit programs that enable the creation of sample claims to ensure the correct CPT/ICD9 correlation, reducing rejected claims; code-specific inquiries based on coverage policies can also be conducted through AHIN