Streamline and accelerate clinical data exchange to support informed decisions, at critical points in the care and payment processes
SES Fetch ensures provider and plan interoperability without complex interfacing, fax/paper processes, or long wait times for provider responses. FETCH supports HIPAA-compliant health information exchange by leveraging the industry’s top standard protocols already in place in the EHR.
Solving clinical exchange challenges for providers and payers
SES Fetch automates the secure exchange of clinical data for electronic prior authorizations, quality and care management, claim attachments, medical review and performance management programs. Transmitting data through the DIRECT secure messaging protocol, FETCH leverages existing EMR technology investments, making it cost-effective for providers and payers to implement.
Demonstrate immediate value.
SES Fetch offers one of the clearest, fastest benefits you’ll see; subscribers report measurable value in just 30-45 days by automating the review of clinical information for use in medical review necessary for prior-authorization and payment of services, care coordination and claim management.
Automate clinical data collection by integrating with FETCH and streamlining electronic exchange of clinical data required for care and quality management, improving cost and performance for both providers and plan.
Expand provider coverage by leveraging EHRs – Take advantage of existing industry exchange protocols and national standards for cost effective implementations.
Exchange the right information at the right time – Retrieve normalized (CCD) and PDF, scanned charts, and lab information. Supports filtering of minimum necessary clinical data from EMRs directly to plans.
Integration with EMR systems – Interoperability through existing standards, including Direct, Fast Healthcare Interoperability Resources (FHIR), X12 278 and 275 semantic XML modes and more.
Supports multiple data types – Includes OCR (including handwritten material and forms), PDF documents, images and data normalization.
Benefit from rapid deployment with secure cloud-based solution and no on-premise software installation required.
Onboard easily with guideline management tools and multiple onboarding options.
“Clinical data integration (CDI) is a core capability that you can apply to obtain clinical data from providers for care management, risk adjustment optimization (RAO), quality improvement and payment integrity use cases.”
Gartner, 5 Actions U.S. Healthcare Payer CIOs Must Take When Purchasing Risk Adjustment
Management Systems. Published: 31 January 2019 ID: G00369402