HIE Referral Program
STRATEGIC REFERRAL PARTNERSHIP
HIEs join with our Referral Program to add value to their network and grow their revenue. We compensate you for every introduction you make between our Clearinghouse and your health plan and provider customers.
ABOUT THE PROGRAM
Traditionally, HIEs have focused solely on clinical interoperability and clinical exchange of data. Since 2007, UHIN has managed both clinical and administrative claim data as a clearinghouse and HIE, which has opened multiple revenue streams. This model can help you succeed.
By adding claim data management to your offering, you can add value to your health plan and provider customers, while increasing your revenue. When you join our HIE Referral Partner Program, you will be compensated for every referral you make to our Clearinghouse solution.
You’ll gain a new stream of funding, which you can put back into your mission.
WHY JOIN THE PROGRAM
Mitigate Risk
Relying on one or two primary sources of revenue, such as membership fees or grants, exposes HIEs to financial risk. If a major partner withdraws or funding is cut, it could threaten your operations. Diversifying income streams, such as partnerships, licensing, and referrals spreads financial risk and stabilizes the organization.
Add Value
By adding claim data management to your offering, you can add more value to your health plan and provider partners, while increasing your revenue. When you join our HIE Referral Partner Program, you will be compensated for every referral you make to our Clearinghouse solution.
Address Decreasing Grants and Support
Many HIEs were initially funded by government grants through programs like the Health Information Technology for Economic and Clinical Health (HITECH) Act. As these grants dwindle or disappear, HIEs need to find alternative revenue streams to replace this critical funding.
Attract and Retain Participants
Healthcare providers, payers, and other stakeholders expect more than basic data exchange from HIEs. By offering additional services, HIEs can differentiate themselves and attract new participants while retaining existing ones, thus growing revenue.
Offset Increasing Operational Costs
Maintaining and upgrading infrastructure to handle large amounts of health data, ensuring cybersecurity, and adding staff or contractors can be expensive. HIEs need new revenue streams to cover these growing costs while continuing to provide value to their participants.
Innovate and Grow
To innovate and stay competitive, HIEs need funding to invest in new technologies, expand capabilities, and enter new markets. Generating new revenue allows HIEs to invest in modern infrastructure, research and development, establish new partnerships, and ensure they can keep pace with industry demands and technological advancements.
HOW THE REFERRAL PROGRAM WORKS
We pay you for introducing the UHIN Clearinghouse to your health plan and provider partners.
We pay you for every agreement we make with health plans and providers.
We pay you a percentage of all claims processed through our clearinghouse by referred partners for the lifetime of our agreement.
We handle the sales, support, implementation and service.
WORKING TOGETHER
UHIN PROVIDES
Education and marketing materials
Technical and on-boarding support
Solution implementation
Customer support and help desk
Billing and invoicing
YOU PROVIDE
Joint outreach and marketing efforts
Meetings with your current partners and customers
COMPENSATION
Receive a percentage of program revenue generated from referred partners.
Program rewards based on introductions and successful agreements with your health plan and provider partners.
WHAT IS CLAIM MANAGEMENT?
Clearinghouses send and receive claim information from providers, health plans (payers), and other clearinghouses. As a neutral third-party, clearinghouses ensure all other parties are compensated properly for the care delivered to patients and members. In the early 90s, UHIN was instrumental in the evolution of claim management from paper to digital format. We are EDI claim management leaders to this day.
For providers, we improve time to payments and reduce manual labor. We connect providers to any payer in the nation, reduce claim denials, and conduct critical transactions in the administrative workflow, like eligibility verification, claim submission and remittance inquiries.
For payers, we reduce costs and increase accuracy by automating the claim lifecycle. This includes delivering secure eligibility requests, claim submissions, and status inquiries from any provider. We make sure payers receive accurate claim data so they pay exactly what is required.
UHIN’s Clearinghouse is designed to securely manage high volumes of claim data effortlessly, ensuring smooth operations even during peak times.
Security is our top priority. We ensure the protection of sensitive data through air gaps, end-to-end encryption, and backup on our HIPAA-compliant platform. We are EHNAC accredited, SOC 2 Type II certified, and stand on 30+ years of security expertise.