Identify and Prioritize e-retrieval of Clinical Data from Providers and for Members

The quickest, most reliable, and least abrasive approach.

Healthcare information access and exchange is going digital, empowering health plans to collect more data than ever before without provider staff interaction.

Digital Direct offers an innovative approach to “look before you leap”, electronically retrieving as many charts as possible for all members and shifting away from the traditional process of targeting specific member sub-sets.

Ciox Digital Direct:

  • Reduces reliance on traditional retrieval, which requires more effort and is less provider friendly
  • Fills the gaps and improves data quality for risk adjustment code capture
  • Simplifies the retrieval process by accepting records directly retrieved from EHRs in Continuity of Care Documents (CCDs) or Clinical Document Architecture (CDA) formats
  • Allows plans to collect data very quickly and efficiently at the Provider and Member levels

Provider Based Chart Retrieval

Matches provider data across Ciox’s network of digital connections to know where charts can be retrieved electronically. Enables a shift from retrospective data collection to collecting data within the current year using claim analysisQuickly realize which providers are more responsive and/or fulfill chart requests on demand.

provider-based electronic chart retrieval

Member Based Chart Retrieval

Determines individual member chart availability across the provider network to acquire charts across a broader provider population. Expands visibility past one specific provider such as PCP or specialist to the patient’s comprehensive care network. Eliminates reliance on a sole encounter and selects the charts most dependably accessible to support a member’s qualifying condition.

member-based electronic chart retrieval

New Member Based Insight

Utilizes the expanding Ciox digital network to collect data for new members to your plan.  Simplifies the effort to locate their encounter data from the previous year through digital matching – where in the past this was extremely challenging.