Although HIPAA was enacted 13 years ago, enforcement of it has lagged, due in part to the high cost of implementing the necessary technology to standardize data exchange and streamline back-office operations. But failure to adopt new technology has proven to be equally, if not more, expensive. In fact, by 2018, national health care costs are expected to reach $4.4 trillion - accounting for just over one-fifth of the GDP - largely due to the transfer of health information through outdated, error-prone administrative practices. These practices include redundant data entry, repeated filing of claim forms, and collection efforts once claims are rejected. Electronic exchange of standardized medical information has proven to reduce costs, and improve efficiency.
IGI offers a web-based portal solution powered by ORBITŪ software that allows health plans to drive all healthcare stakeholders to seamlessly comply with HIPAA guidelines, reduce costs, and ultimately improve delivery of services. Built on Service Oriented Architecture ("SOA"), ORBITŪ is IGI's comprehensive solution for managed care companies seeking to interconnect physicians, hospitals, labs, and the payer systems. The solution provides online transaction status for claims, member benefits, referrals / pre-certifications, and more:
- Claims submission with attachments
- Eligibility verification and benefits
- Remittance advice and EFT
- ePrescribing with drug interactions
- Pre-authorization and referrals
- Payment gateway
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