Take Your Practice to a New Level!
Tufts Health Plan offers your office a wide range of electronic solutions for your everyday needs. From member eligibility status and benefit information to claim submission and clinical information, your office can dramatically improve administrative costs with less paper and less time on the phone.

Electronic self-service tools save time in your transactions with Tufts Health Plan and will help streamline your practice, reduce your administrative costs, and increase information security.

Electronic Self-Service Tools
Tufts Health Plan offers these self-service options for providers at no charge:

• Tufts Health Plan's secure Web site
• Direct EDI claim submission
• Our interactive voice response (IVR) system

Other self-service options include:

• Emdeon Office
• NEHEN
• NEHENNet

Consider the types of transactions your office conducts with Tufts Health Plan and how our e-Access for Providers can help reduce your administrative costs and enhance your efficiency. Then compare your technology options to select the channel that best suits your needs. You can also use our Administrative Transaction Analysis Tool to help assess your technology requirements.

Authorization Options Referral Submission Referral Inquiry Precertification Submission Preregistration Mental Health Service Request	Claim Options Claim Submission    - Direct EDI Claim      Submission    - Clearinghouse Claim      Submission Claim Status Inquiry Corrected Claims and Payment Disputes Clear Claim Connection™ Electronic Remittance Advice (ERA)
Clinical Tools InterQual® Clinical Criteria and SmartSheets™ Clinical Quality Reports	Member Inquiry Options Eligibility Benefits