Healthx open technology platform helps payers design, sell and deliver the world’s best health plans. The best health plans are built by integrating multiple, best-in-class services and effectively communicating to members in a way that drives healthier, more cost-effective behavior. Empowered by our fully-integrated healthcare operating system, OpenX™, Healthx allows payers and brokers to integrate new services and connect to data from multiple vendors. This enables our clients to easily customize plans for employers and deliver solutions seamlessly to plan members, resulting in increased sales and a healthier bottom line. As the name implies, OpenX is an open system, capable of integrating with any third party benefit service—whether it’s one of our many current partners or new partners brought to us by our clients. We realize as innovation in healthcare benefit services continue to accelerate, the need for an open, robust, standardized platform, such as OpenX is paramount in meeting our common objectives of building the world’s best health plans.

Healthx OpenX data and communications platform provides web and automated phone service for everyone in your delivery system, increasing efficiency and reducing costs across the board. Now you can more fully manage the variables of establishing, servicing, growing and profiting from robust client relationships with Healthx's constantly evolving toolbox of best of breed products and services.

Healthx OpenX platform consists of web and phone utilities, available by a monthly subscription fee together or individually, with one time implementation, and free ongoing consultation to help you thrive in an increasingly complex consumer driven marketplace. Healthx OpenX Web platform works with any claims system, making implementations fast, with minimal disruption to day-to-day Payer operations. Healthx OpenX Web platform offers adaptability and allows you to add new solutions as your market demands change.

Healthx offers a variety of add-on services to help you compete in a consumer driven marketplace. We have partnered with some of the industries most respected names to offer you pre-packaged and pre-integrated enrollment, health and wellness tools, disease management, FSA, HSA, HRA, Debit card, predictive modeling, provider profiling and intervention solutions at better cost points by leveraging Healthx buying power. Partner with a proven leader who can take you to the next level.

Payer Evolution to Consumer Directed

Healthx OpenX platform services streamline customer and trading partner interactions across multiple touch-points, including telephone, fax, Internet, and Interactive Voice Response (IVR). Healthx OpenX Web enables you to customize and target your online presence via specific web portals for employers, members and providers, and integrate and personalize valuable information for customer access. OpenX improves service, reduces costs, streamlines your processes and increases profitability. Healthx Phone combines Interactive Voice Response (IVR) and fax back technologies to assist users as they request information via the phone keypad. The system provides either a verbal playback or faxback of eligibility, accumulator and claims status.

Healthx Portals - Configured, Customized and Branded For You

Customized, branded portals for Providers, Brokers, Employers and members
Ability to manage and configure site to fit your business needs
Online interactive Explanation of Benefits
Dynamic links to plan documents, networks and PBM’s
Fully HIPAA compliant
Provider portal
System security and user authentication
Online HSA, HRA, and FSA Statements with links to EOB’s
Online requests for HAS, HRA and FSA disbursements
Online purchasing of Over the Counter items and Durable Medical Equipment
Methodology to help drive usage from all constituents
All services delivered via a secure, fully managed ASP model

Targeted Messaging

Online claims views including e-mail notification of new EOB’s
Email notifications of new claims or customer service answers
Online secure customer service question and response system
Email notification for key events to drive high system usage
Automated email notification
Broadcast announcements

Reports

Secure, online distribution of monthly reports or premium billing
Detailed online usage reports by service and client