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Johns Hopkins Health Plans announces multi-payer portal

Through the real-time platform, providers can submit and track electronic claims, claims status, remittance and claims payment information.

Susan Morse, Executive Editor

Photo: Helen King/Getty Images

Johns Hopkins Health Plans has launched a new multi-payer portal to connect providers and payers.

Using the real-time platform, provider offices will be able to submit and track electronic claims, claims status, remittance and claims payment information, according to Johns Hopkins. It helps providers with insurance claims and prior authorization requests.

WHY THIS MATTERS

The artificial Intelligence within the platform and technology from Availity Essentials allows for faster access to data to help providers manage medical benefits.

Provider staffs will also benefit from insights into financial and administrative transactions. Future improvements will enable providers to receive more timely access to member information through improved provider reports.

The health plans of Priority Partners, Advantage MD and Employer Health Programs will be implemented during the first phase, with US Family Health Plan added later.

THE LARGER TREND

Johns Hopkins Health Plans administers provider-sponsored health plans backed by the clinical research of Johns Hopkins Medicine.

As a joint entity of the Johns Hopkins Health System and the Johns Hopkins University School of Medicine, Johns Hopkins Health Plans serves nearly 450,000 members in Maryland and the Mid-Atlantic region.

Johns Hopkins Health Plans has four health plans: the US Family Health Plan, Employer Health Programs, Priority Partners and Advantage MD. It manages more than $3 billion in annual premiums.

It also has a Solutions and Innovations venture in partnership with Johns Hopkins faculty and providers, turning research and ideas into digital products, including the population health analytics software called the Johns Hopkins ACG System.

Johns Hopkins Medicine, based in Baltimore, has six academic and community hospitals, four suburban health care and surgery centers, over 40 patient care locations, a home care group and an international division,

ON THE RECORD

"Patients experience less frustration and delays in care when their medical providers and health plan work seamlessly together," said Dr. Marina Zeltser, Johns Hopkins Health Plans' associate chief medical officer. "Evolving our technology and processes will ultimately help to improve the experience of our members as they navigate their healthcare."

Email the writer: SMorse@himss.org