Query Access is a service that allows HealthLink's payor partners to view into a “window” to HealthLink's system. This service allows payors to look-up HealthLink data on PCs in their own offices. HealthLink provides the long distance service for the phone calls to link the systems.

We encourage utilization of this service for high volume payors to view the following network data:

• Claims repricing information, which includes the ability to re-print repricing sheets.
• Provider status information to determine network participation.
• Pre-certification or other utilization management information (if applicable).
• HealthLink and/or NCPPO network eligibility status for active members and groups.

Payors with Query Access service may continue to contact HealthLink's Customer Service department for assistance with claims repricing, provider status, utilization management authorizations or HealthLink network eligibility status.

Query Access is set up at the payor's designated workstation(s). Payor Relations provides “conference call training” on the various functions of the system. A reference guide is provided which includes information on frequently used features of Query Access.

Necessary Equipment:

A personal computer with:

• Windows 95B or WinNT 4
• 50 MB of free hard drive or more
• 28800 baud modem or better
• Pentium 133 or better
• 32 MB of RAM
• Anita (HealthLink System CD) – provided by HealthLink
• VPN Set-Up (for system access)