Echo Managed Care Modules
 
 

Contracts Module
The contracts module accommodates the vast array of provider contracting models that exist in both managed care organizations and health systems who sponsor managed care plans. The contracts module allows the user to quickly attach and track an unlimited number of managed care contracts to providers and/or provider groups. It also records multiple fee schedules, associated addresses, and lines of business. The contract module also records services and clients that are included or excluded within the specific contract.

Complaint Module
The complaint module allows the user to track, manage, and report on member complaints and/or grievances including arbitration activity. The complaint module provides a vehicle to effectively manage the complaint process from start to finish, and assists with regulatory reporting and/or provider re-credentialing needs.

Sales and Account Management Module
The Sales and Account Management module was developed to track information about prospects and clients relative to their use of the managed care network. It supports network evaluation for prospects through Access Analysis, Disruption Reports and Provider Directory Information. Additionally, the module tracks the client’s use of the network and records any specific network needs including: provider exclusions; service inclusions or exclusions; and the creation, maintenance, and tracking of property and casualty wallcards.

Hands-Free NPDB - Auto Module
For clients with large provider databases, the NPDB Auto module bypasses IQRS to directly connect to the NPDB/HIPDB via IPT, (ICD Transfer Program). Through electronic transaction file submission, the data is formatted to meet the NPDB requirements and an electronic query is sent. The NPDB Auto module retrieves and receives a complete electronic version of the NPDB report that is automatically stored in each provider's record, eliminating manual handling. The base Echo system provides access to the NPDB and HIPDB using IQRS submission functionality.

Geo-coding Validation Module
The Geo-coding module automatically validates your provider and organization addresses to ensure data integrity, essential for your access analysis efforts and provider directories. Addresses that cannot be validated are flagged automatically for review and correction. The geo-coding module utilizes geographic data from the US Census Bureau Tiger files.

Electronic Attachment (OCR) Module
The OCR module is designed for organizations with larger provider databases that need an efficient method to scan and attach documents that do not include postmaster (barcode) numbers, such as applications, licenses or documents. When a document is returned, the client attaches a numeric label, enters the number into the provider record, and scans the document. The OCR module automatically attaches the scanned image to the provider file and updates the provider record.

Data Exchange
The Data Exchange module facilitates the importing and exporting of data to and from other computer systems. This fully automated functionality supports continuous, as well as transaction-based, exchanges in an unlimited number of file layouts in SDF and delimited ASCII format.

Audit Trail
The Audit Trail module tracks access and changes made to data including the type of change (addition, deletion, or modification), system user, date/time, and files and fields that were accessed. The module also includes the original data and new information entered in a historical log to ensure data integrity.

EchoPSV
EchoPSV (primary source verification) module accelerates the credentialing timeline by automatically connecting and retrieving information from various websites that offer verification information. EchoPSV uses HTTPS technology to securely obtain PSV for acceptance and review by staff.

EchoConnect
Allows you to offer an online application through a secure website; then review and download the data electronically, eliminating manual data entry of provider information.

 

 

 


HealthLine Systems Website Links Page

Home   |   Hospitals   |   Managed Care   |   Physicians / Groups   |   Corporate   |   Client Login   |   Webinars  |   Contact Us  |   Site Map  |   Search

Privacy Statement - Copyright ® 2008 HealthLine Systems Inc.