NEHENClassic: An Administrative Solution For Healthcare
Since 1998, NEHEN has made tools to allow its members to exchange administrative information directly,
saving millions of dollars for patients, providers, and payers through improved revenue cycle performance.
Now with over a decade of maturity, NEHENClassic offers you a robust, high-volume, and open platform
for building your own administrative exchange capabilities.
NEHEN is a member-driven organization, and as a member you have a seat at the table when it comes to establishing
product direction. Unlike a vendor-driven exchange, NEHEN builds the capabilities most needed by its members to
solve their common challenges.
What Does NEHENClassic Do?
How Do I Know if NEHENClassic Is Right For Me?
How Does NEHENClassic Work?
Can I Talk To Someone About NEHENClassic?
What Does NEHENClassic Do?
NEHENClassic is a collection of software tools that helps you to streamline and improve your revenue cycle
management performance. By using these tools to better automate your registration, billing, and collections
processes, you can gain efficiencies and reallocate scarce resources onto other important tasks.
NEHENClassic is a peer-to-peer solution; you directly connect with your healthcare exchange partners, and you
operate it from your own datacenter. As a NEHEN member, you will have open access to the underlying
database and transaction routing engine so that you can integrate the tools into the rest of your health information
technology architecture. It is an "any payer" solution, with an open design which allows you to write your own custom
adapters to exchange administrative transactions with any exchange partner we don't already have the capability for.
See our list of pre-built transactions and payers.
With NEHENClassic you can send and receive all the HIPAA-standard administrative transactions:
Member Eligibility (270/271, real-time and batch)
Claim Submission and Tracking (837i/p, file or direct data entry)
Claim Status Inquiry (276/277, real-time and batch)
Remittance (835)
Referral/Authorization (278, with leakage prevention)
Referral Inquiry (278i)
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How Do I Know if NEHENClassic Is Right For Me?
Members who use NEHENClassic are drawn from a broad range of participants in the healthcare industry:
providers (large group practices and hospitals), insurance payers, billing agencies, public health agencies.
They all have one thing in common: the desire to work directly with their healthcare exchange partners to
streamline and build efficiencies in administrative exchange while avoiding transaction fees.
To understand whether or not NEHENClassic is right for you, consider the profile of the typical
NEHENClassic member:
Has existing IT staff and resources
Has a high volume of transactions to exchange (100,000/month or more)
Wants, and has the capability, to automate their administrative processes
Wants to integrate with core registration and billing systems
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How Does NEHENClassic Work?
How does NEHENClassic allow you to work directly with your healthcare exchange partners?
The most basic answer is: by giving you the tools to do it yourself. Our workflow is simple...
1. Your staff enter transactions through a convenient web page, or transactions are fed in from one of your own
health information systems (such as a hospital HIS).
2. The NEHENClassic gateway examines the transaction and determines its destination, then routes
the transaction directly to the intended recipient over the internet or through a virtual private network
from your datacenter to theirs.
3. The recipient receives the transaction and sends back any appropriate acknowledgements and responses.
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Can I Talk To Someone About NEHENClassic?
Yes. If you have questions, or think that NEHENClassic might be right for you, please send us an email
at nehen@maehc.org with your contact information and a day and time
that you'd like for us to reach out to you on.
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