NextGen Real-time Transaction Server
Your one-stop automated solution to create revenue
efficiencies and simplify operations.
Streamline office operations.
Improve care decision making.
Create revenue cycle efficiencies.
Real-time Transaction Server, an interactive data transaction
system, streamlines a wide range of office operations with a one-stop
automated solution. It reduces errors, improves information access,
and speeds payment time, resulting in:
• Fewer A/R days
• More effective staff management
• Better overall patient care
Working seamlessly with NextGen®
(NextGen PM), NextGen Real-time Transaction Server facilitates
transactions with payers, clearinghouses, and other third-party partners.
With easily accessible patient insurance coverage data, specialist referral
approvals, and claims status reports, you save time and money with
streamlined operations—without needing to access third-party applications.
Plus, use NextGen Real-time Transaction Server to archive transactions
and generate on-demand custom reports.
Healthcare providers face greater financial pressures than ever before. Between rising healthcare delivery costs
and lower reimbursements, they need automated solutions to create revenue cycle efficiencies.
VERIFY patient eligibility.
Enable more effective care delivery. Eliminate inefficient
phone-based insurance confirmations. Ensure that you—
and your patients—know exactly what type of visits, procedures,
and treatments insurance will cover, even before a patient’s
Use NextGen Real-time Transaction Server to send data
automatically (or on demand) to any connected payer. Get rapid
responses detailing coverage limitations and patient deductibles
for improved transparency. Empower yourself, and your patients,
to understand financial liabilities up front.
Use NextGen Real-time Transaction Server to:
• Prevent costly miscommunication
errors between patients and insurers
• Pinpoint potential problems early so
you can address them before the visit
• Obtain complete and accurate data
to ensure clean, accurate claims
• Gain a streamlined solution
that automatically runs off the
• Easily access results for better
reporting and tasking via a fully
It can take significant time and effort to refer your patients to authorized specialists. Remove the guesswork
and speed referrals. To ensure snag-free referrals, NextGen Real-time Transaction Server:
• Obtains a payer’s referral number based on various criteria, including CPT-4 codes, ICD-9 codes
(ICD-10 ready), date ranges, and provider lists
• Makes it easy to enter separate numbers/co-payments for various individuals on a single policy using
policy override functionality
• Streamlines referral authorizations for patients under a spouse’s insurance plan
STREAMLINE the referral process
Tap into NextGen Real-time Transaction Server for better compliance with the HIPAA
Administrative Simplification Act, which requires practices to standardize common data formats.
Get insight into anticipated revenue, reduce claim
turnaround time, and improve cash flow.
Using NextGen Real-time Transaction Server, verify that claims are
accurate and reimbursable before payment—and easily check on
the status of live claims. Don’t wait for a denial code to show up.
Get alerts regarding rejected claims right away. When there’s
a problem with an unpaid claim (i.e., it exceeds a specified
time threshold), NextGen Real-time Transaction Server
can assign it to appropriate staff for follow-up.
“After implementing NextGen Real-time Transaction
Server, we have had fewer denials on our claims
and we’re saving time. We’ve eliminated re-billing
due to ineligibility or incorrect policy numbers by
correcting insurance information prior to patient
” Brenda Blake, EPM Manager
Utah Gastroenterology, PC
NextGen PM achieved Phase II “CORE®
” certification by
The Council for Affordable Quality Healthcare (CAQH®
Committee. CAQH is a non-profit alliance of health plans and
CAQH launched CORE (Committee on Operating Rules for
Information Exchange) to give providers consistent access to
patient coverage information before or at the time of service
for any patient or health plan.
With our latest certification, providers using NextGen PM get the help they need to reduce unnecessary
healthcare administrative burdens, while becoming more efficient and responsive to patient concerns.
How? By giving providers access to a richer set of consistent and accurate electronic administrative data, such as
eligibility, benefits, and patient financial information—all of which empower better healthcare decision-making.
New certification empowers better
Achieve ongoing, peak efficiency
Get the functionality and results you need to ensure your revenue cycle
operates at peak efficiency. Choose NextGen Real-time Transaction Server to:
AUTOMATE eligibility, referrals, and claim status inquires.
BATCH AND SUBMIT payments automatically or on demand.
EASILY RETRIEVE and view claim processing results, which are stored
electronically and appended to patient charts.
SPEED CLAIM RESOLUTION and payment by automatically delegating tasks
to select staff when issues arise, such as when insurance coverage expires
before a patient’s scheduled appointment.
FORWARD TRANSACTION RESULTS to NextGen PM for tasking, reporting,
and historical data.
A smart partner for proven results
NextGen Real-time Transaction Server builds
on our results-driven solutions, providing
the automated functionality and intelligence
needed to ensure a strong bottom line. But
with NextGen Healthcare you also get a proven,
stable healthcare IT solutions partner. One that
delivers the functionality and support you need
to succeed today and in the future. One whose
clients get results.
In fact, our clients average a 97% first pass
clean claim rate, typically improve collections
by 9%, reduce A/R days by 36.4%, and see net
collections of 98%.
Like you, NextGen Healthcare understands the
importance of patient-centered, value-based
FIRST PASS CLEAN CLAIM RATE
REDUCED A/R DAYS