National Healthcare Exchange Services

National Healthcare Exchange Services (NHXS) provides turnkey solutions that reduce dispute-resolution costs for physician groups, resulting in improved reimbursement and payment accuracy. NHXS builds and maintains a robust rules engine that includes fee schedule, pricing, and clinical edit logic for each payor. eobResolveTM provides a powerful solution to ensure payor compliance with contract and regulatory payment requirements. Using a payor-specific rules engine, eobResolveTM automatically identifies fee-schedule underpayments, misuse of clinical edits and late payments without interest. In addition to formatted appeal letters ready for immediate submission, eobResolveTM provides powerful management tools to improve contract performance, coding compliance and dispute resolution. NHXS also provides a number of solutions built around its payor-specific payment rules engine. These include nhxsPricerTM; a point-of-service patient responsibility calculator and contractResolveTM; a powerful contract-negotiation and forecasting tool.