Tufts Health Plan to partner with Emdeon

NASHVILLE, Tenn. Emdeon and Tufts Health Plan have entered into another agreement under which Tufts will add its payment management services to their already existing electronic data interchange services relationship, which includes claims, eligibility and benefits verification and other HIPAA based transactions.

Under the new deal, Tufts will offer a full collection of payment and payment communication related solutions to its providers and members, which will include print and mail services as well as electronic version through the health plan’s website. Electronic payment to providers and vendors that are supported through electronic funds transfer, electronic remittance advice used to reconcile and post receivables and electronic explanation of benefits to plan members will also be offered.

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.

“We are extremely excited to broaden our longstanding relationship with Tufts Health Plan”, said Gary Stuart, executive vice president of Emdeon Business Services. “Its market leadership in Massachusetts coupled with Emdeon’s provider reach and experience in migrating paper-based administrative processes in healthcare puts us in a unique position to accelerate the transition to electronic payments. These services offer greater transparency into the claim settlement process and reduce administration for Tufts Health Plan’s providers and plan members.”