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Course Name Course Code
QNXT 50
Course Contents

 QNXT

ü Healthcare – an overview

ü QNXT and HealthCare

ü QNXT – an end to end solution provider

ü The Industry Outlook

ü Trends in Healthcare

ü QNXT/Healthcare workflow

ü QNXT provider

ü Provider Participation

ü Provider Contract

ü Provider Reimbursement

ü Provider Network

ü Network Hospital Standard

ü QNXT Member

ü Member’s enrollment

ü How is enrollment carried out?

ü Self-Employed Members

ü Self Insured Group 

ü Affinity Groups 

ü Company Paid Groups

ü QNXT Product Eligibility

ü Eligibility Data Transfer

ü Eligible Dependents

ü Member Group Maintenance

ü Disability Benefits

ü HIPAA

ü COBRA

ü QNXT/HealthCare Sales

ü CLAIMS

ü Claim generation and submission to Providers

ü Claim Adjudication Process

ü Claim Payments

ü Claim Adjustments

ü External Agents

ü Health Plan Benefits

ü Indemnity Plans

ü Health Maintenance Organization (HMO)

ü Preferred Provider Organization (PPO)

ü Point Of Service  (POS)

ü Other Plans

ü ELECTRONIC HEALTH TRANSACTIONS STANDARDS

 

PAYMENT METHODS
PAYPAL GOOGLE CHECKOUT