Implementing NEHEN has changed the way administrative processes are done
in member organizations. Today, NEHEN participants already transmit all
HIPAA Administrative Transactions such as:
- Eligibility Verification
- Specialty Care Referrals
- Authorization / Pre-Certification
- Referral Inquiry
- Claim Status Inquiry
- Claim Submission
- Electronic Remittance
NEHEN's membership includes leading regional payers such as Blue Cross
Blue Shield, Harvard Pilgrim Health Care, MassHealth, Neighborhood
Health Plan, Network Health and Tufts Health Plan. NEHEN also has
connectivity to MA Medicare including national payers such as Aetna and
Cigna.
Download the full list to supported transaction and payer list