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To get the most value from QNXT, it must be configured properly, with effective migration capabilities between environments and regions. It is also important to be able to ensure compliance with complex regulatory requirements and manage large changes and volumes of changes quickly. Our suite of optimization solutions gives your IT staff the tools they need to ensure that you will get the best value from QNXT.
With Claim Test Pro, you can test claims data efficiently and cost effectively and verify with confidence that correct claim totals are being paid. The solution greatly reduces the need for manual creation of test cases, automates the management and reconciliation of results, tracks and documents test projects and cases, and electronically converts system data to applicable testing data sets to create a robust and applicable testing environment.
In addition, the Claim Test Pro application provides a comprehensive set of testing suites that provide for more diverse testing schemas, enabling testing of a multitude of provider reimbursement scenarios. The solution automates many processes that previously were done manually, helping plans increase administrative efficiencies by reducing the resources needed to manage these initiatives. An added benefit of the Claim Test Pro solution is that it provides management tools that track and report progress.
Plans that do not have a strategy for testing and validating claims data may be at risk. Claim Test Pro can help you:
Implementing QNXT is an effective way to improve claims processing, group administration, case management and pre-authorizations, to name a few of the many benefits; but ensuring that QNXT continues to satisfy all of your needs and requirements sometimes requires system configuration changes and any changes to be promoted between environments. In some cases, this process can be complicated and time-consuming. The Configuration Solution for QNXT is a combination of tools and services that automate, optimize and help maintain QNXT configurations and promotions. When combined with integration, the solution facilitates a robust configuration data change management process.
Configuration Solution for QNXT allows healthcare organizations to:
When making and managing system configuration changes, it is critical that payers continually test in order to validate the integrity of the changes and to ensure that new configuration items are production-ready. This task becomes more complex when multiple, simultaneous changes are involved.
The Configuration Migration Utility for QNXT helps control, manage and successfully execute configuration promotions. It gives non-healthcare IT personnel the ability to migrate specific aspects of configuration changes from environment to environment in a manner that is controlled, workflow-integrated and audit-capable. With this tool, you can:
Before adding new functions, changing system configurations or design, it is important to test them in a way that keeps health information fully protected. Test Data Generator creates non-production data sets of both transactional and configuration data, allowing healthcare organizations to test possible changes before implementing them. The tool ensures that protected health information (PHI) remains fully secure by stripping the data of personal identifying information and creating key word files with all new identity information. The result is size-controlled data sets of randomized non-production data.
Using Test Data Generator for QNXT, healthcare organizations can: