The benefits of the Epic Tapestry implementation just keep getting better as we consider our more than 2,500 provider groups.
Our providers – physicians, nurse practitioners, therapists and other specialists – who care for our members will be on the receiving end of an enhanced portal and an improved claims process for their payments.
“Our goal is to constantly improve the experience that our providers have when they care for our members,” said Cade Crumley, assistant director of Provider Relations. “The Tapestry implementation will allow network providers access to enhanced patient data, more timely communication and increased engagement with us.”
But what does this mean, specifically?
More timely and reliable information – Providers will now have no delay in system information updates.
Secure communication and a reduced call volume – Providers can reach out to our staff about members and resolve reimbursement questions by sending direct messages.
Review insurance information – Members’ coverage information, metered benefits, and submitted claims will be available on demand.
Manage referrals – It will soon be possible for providers to submit and review authorizations and notification letters electronically, which simplifies processing for utilization management staff and reduces the number of incomplete requests they receive.
Review and track claims – Providers will be able to review claims they’ve submitted for our members and see claim statuses, even before claims have been fully processed. After claims are processed, the remittance advice appears in the portal with details about payment and covered service.
Manage your population – The new portal will be integrated with Healthy Planet. Providers can also access care management tools, scorecards, and analytics that help to coordinate the care of your patient populations.
Benefits to our employees
“Like many departments at the health plan, Provider Relations is looking forward to this change in our work,” Crumley said. “Epic Tapestry will allow us to work within one system instead of multiple systems. A more efficient work day is definitely on the way.”
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Missed the other stories in our series? Check them out!
The first one was all about Care Coordination and the Healthy Planet module.
The second one dived into Member Services.
Third was the Money Matters of Epic Tapestry.