NAMM California is committed to providing clients with effective and efficient IT systems that are at the forefront of health care and technology.
The IT department continuously evaluates upgrades and opportunities to expand the electronic capabilities of NAMM California and its clients.
Utilizing multiple best-of-class vendors, the IT department supports and hosts systems for communication, automatic authorizations, eligibility tracking and transactional claim processing.
The data aggregation processes and security protections are approved for self-reporting data for various Pay for Performance and Quality Insurance Programs to improve the quality of patient care and the accuracy of encounter submissions.
The NAMMNet provider portal includes a single point of communication for online access to:
- View member eligibility
- Look up claims
- Submit and review authorizations and referrals
- Order and review laboratory results
- View and update IPA and provider-specific details
NAMMNet aims to improve physician connectivity by working to streamline medical management and physician communication. In 2009, NAMM California successfully implemented an EHR/PMS system.
NAMMNet offers innovative self-service web solutions that assist physicians. These solutions enable decision support strategies, which eliminate authorization phone calls and faxes, and reduce administrative overhead.
To improve the coordination of patient care and assist physicians in qualifying for the Federal funds under the HITECH Act, NAMM California recrafted its connectivity strategy to include a HUB technology.
This enabled communication between different EHR/PMS systems, physicians, hospitals and ancillary providers. It also included using the HUB to enhance clinical pathways for disease management, patient portals and data aggregation for best practice studies.