News | January 06, 2008

Tufts Health Plan Selects Emdeon Business Services For Payment Management

January 7, 2008 - Emdeon Business Services said today it entered into an agreement with Tufts Health Plan to add its payment management services to their longstanding relationship.

Tufts Health Plan has partnered with Emdeon for nearly 10 years for EDI services including claims, eligibility and benefits verification and other HIPAA-based transactions. Through this expanded partnership, Tufts Health Plan will roll out a suite of payment and payment communication related solutions to its providers and members which will include print and mail services; electronic payments to providers and vendors that are supported through electronic funds transfer (EFT) and electronic remittance advice (ERA) used to reconcile and post receivables; as well as electronic explanation of benefits (eEOB) to plan members.

Its members will benefit through an improved member-friendly EOB design with the option to go paperless by accessing a complete electronic version (eEOB) via the health plan's Web site. Additionally, through Emdeon’s postage cooperative, Healthpayers USA, the organization will streamline distribution of provider checks and Explanation of Payments (EOPs). Working closely with Tufts Health Plan, Emdeon will provide assistance in the areas of provider marketing, enrollment and administration of the ePayment services with the objective of migrating providers and vendors to electronic payments.

Tufts Health Plan has been named number two in the country for both HMO/POS combined products for a second consecutive year, and achieved a third place ranking for its Medicare Advantage program for the second year in a row by U.S. News & World Report and the National Committee for Quality Assurance (NCQA).

Emdeon’s extensive health information network processes nearly four billion transactions annually on behalf of its payer, provider and vendor customers. Emdeon provides EDI services to more than 12,000 Massachusetts-based providers. With industry leading financial management solutions, Emdeon is simplifying the business of healthcare.

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