For providers, HealthTrio connect simplifies the management of health plan relationships and alleviates administrative costs and frustrations, including countless hours spent on the phone with various health plans. The system lets providers access important patient information on demand and to exchange, modify, and execute essential claims, referral and eligibility transactions 24x7 with multiple health plans — each with their own unique brand and identity — from a single interface. The system also impacts patient care, enabling providers to streamline and improve clinical processes, such as more accurate prescription writing and timelier lab results reporting for better decision making.

Easy-to-use and implement, HealthTrio connect offers unparalleled provider functionality:

• Improve provider satisfaction. Health plans face stubborn challenges of waning provider satisfaction, contract barriers with providers, and unexpectedly low provider adoption of current Web initiatives. HealthTrio’s provider portal enables online communication with providers that has been shown to save them time and to improve cash flow, thereby increasing provider satisfaction and providing real value. As a result, user adoption accelerates quickly and remains high. It’s no surprise, therefore, that HealthTrio connect has already attracted more than 40,000 providers’ offices to Internet-based health plan communication quickly and permanently.
  
  
• Administrative transactions. HealthTrio connect utilizes the Internet to deliver a comprehensive suite of administrative transactions, including eligibility and benefits inquiries, claims status inquiry and claims submission with point-of-service settlement and remittance advice, and secure messaging to enable HIPAA-compliant communication between providers, health plan and members.
  
  
• Medical management. HealthTrio connect automates the referral and authorization process and provides the tools needed to help health plans advance disease management initiatives. Through the use of HIPAA 278-compliant transactions, HealthTrio connect ensures that referrals and authorizations are timely and accurate.
  
  
• Electronic, Individual, and Personal health record. HealthTrio, LLC, is taking a leadership role in consumer-driven healthcare, offering an extensive set of consumer-focused initiatives. In large part, improving member health depends on keeping providers informed about all of a member’s problems, medications and history. At the core, HealthTrio connect delivers to providers and members integrated, personalized medical information from the patient’s own healthcare data and combines that medical information with access to the industry’s most trusted healthcare content. In addition, this specialized information can be augmented by health and wellness tracking for each member. Unique features include

  Medical history and problem list. HealthTrio connect’s single data model enables patients and their providers to cooperatively build and maintain a permanent, secure medical history and problem list. As a result, caregivers reduce the time required to keep patient information current, and improve care delivery due to the greater confidence in both the accuracy and completeness of the information.
  
  Medication management. HealthTrio connect’s “smart” formulary and medication profile gives physicians the information they need to prescribe more accurately and according to appropriate benefit coverage. The formulary is customized to the specific benefit coverage for each member. Medication profiles are kept current with drug histories provided by the PBM along with member’s own tracking of OTC or other prescription drugs.
  
  Visit history and health event record. HealthTrio connect creates a secure, permanent health record by tracking and recording visits and health events for every member, whether they are captured from claims data, by the physician, by the member, or by another caregiver. These events may include office visits, lab work, results from a lifestyle questionnaire, or any other event.
  
  Care plan. HealthTrio connect provides a great way for medical providers to set up comprehensive care plans for their patients, identifying measurable, actionable steps organized into an easy-to-use calendar system. Patients are alerted when follow-up is needed and reminded when upcoming visits are scheduled. The reminder system is also a valuable tool for compliance with medication schedules, exercise regimens or other health activities.
  

• Office management. HealthTrio connect streamlines many office management tasks that have traditionally been manual or paper-based, such as obtaining up-to-date member rosters from health plans or generating certain administrative reports. Also, to integrate information from practice management systems, HealthTrio connect offers a unique file transfer agent that improves compatibility between disparate systems.