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The New England Healthcare Exchange Network (NEHEN)

NEHEN, a trusted health information exchange since 1998, unites healthcare payers and providers across New England by streamlining healthcare operations through secure and efficient data exchange. With over two decades of experience, NEHEN’s X12 EDI services ensure HIPAA-compliant administrative transactions, and its upcoming HL7® FHIR® (Fast Healthcare Interoperability Resources) API services* will further enhance clinical and administrative integration. Trusted partnerships with Cognizant and ZeOmega support NEHEN’s dedication to improving interoperability, reducing costs, and ensuring scalable solutions for hospitals, insurers, and providers, in support of their patients and members. Explore NEHEN further below, including updates on our transition project adding FHIR® support, NEHEN 3.0:

EDI Services button      FHIR button (1)-1                N3 Project Update (2) 

*FHIR® is the registered trademark of HL7 and is used with the permission of HL7.

Overview

NEHENEDI (X12 EDI Services) - The foundation for HIPAA-compliant administrative transactions

The current NEHEN services include essential transactions like eligibility checks, claims, and referrals using industry-standard X12 protocols, leveraging robust and affordable Electronic Data Interchange (EDI). NEHEN is a proven, reliable platform that has enabled healthcare organizations to simplify operations, reduce administrative burden, and enhance care coordination while complying with all HIPAA administrative transaction requirements.

NEHENFHIR® (FHIR®-Based Services) - Expanding towards a more interoperable future

In addition to X12 EDI services, MHDC is adding new features including FHIR® API services, enabling real-time data exchange, advanced automation, and new capabilities like electronic prior authorization and quality data exchange. The current NEHEN services will continue serving your HIPAA administrative transaction needs, while the enhanced NEHEN services will meet the growing demand for interoperability, real-time connections, and more efficient care delivery leveraging modern technology and processes.

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Overview

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NEHEN EDI (X12 EDI Services) - The foundation for HIPAA-compliant administrative transactions

The current NEHEN services include essential transactions like eligibility checks, claims, and referrals using industry-standard X12 protocols, leveraging robust and affordable Electronic Data Interchange (EDI). NEHEN is a proven, reliable platform that has enabled healthcare organizations to simplify operations, reduce administrative burden, and enhance care coordination while complying with all HIPAA administrative transaction requirements. 

NEHEN FHIR (FHIR-Based Services) - Expanding towards a more interoperable future

In addition to X12 EDI services, MHDC is adding new features including FHIR API services, enabling real-time data exchange, advanced automation, and new capabilities like electronic prior authorization and quality data exchange. The current NEHEN services will continue serving your HIPAA administrative transaction needs, while the enhanced NEHEN services will meet the growing demand for interoperability, real-time connections, and more efficient care delivery leveraging modern technology and processes.

 

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Collaborative Governance

NEHEN emphasizes collaboration among its members while using and advancing standards-based electronic data exchange directly with your trading partners.

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Workflow Integration 

NEHEN integrates with existing health IT - electronic medical record systems, data warehouses, population health systems, claims management systems, and more - to optimize information exchange.

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Fair Pricing

Fees commensurate with organization size.

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Future Regulation-Oriented Technology

Meets API transactions, workflows, and business practices to meet Federal regulations. Compliant with: USCDI/US Core, CMS rules including CMS-9115F and CMS-0057F, ONC certification requirements, and industry adopted FHIR® implementation guides.

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TriZetto Network (Cognizant) for X12 EDI

and

ZeOmega for FHIR®

The Trusted Health Data Solution For

Physician Practices

Hospitals & Health Systems

Community Health Centers

Health Plans/Payers

Vendors

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For Current NEHEN Members:

Technical Support: 

tps_nehensupport@cognizant.com

Member Services: 

781-907-7210

Urgent After Hours Support:

800-556-2231

Be prepared to provide your Site ID, Contact Name, Call Back Number, Reason For Emergency.