The system offers multiple types of electronic communications
between the provider and the Vivax PlanManager™. These
linkages are via the Internet (Vivax
WebConnection™), Vivax Provider Card
Reader Terminal, fax
and conventional telephone.
The type of linkage that fits a particular provider primarily
depends on frequency of use and cost of linkage. Each
linkage type has its advantages. The telephone is suitable
for a provider that has low use requirements and does not
have access to the Internet. The Provider Card Reader
has the fastest response time, cost less than a PC and has
the added advantage that a member card with a magnetic stripe
(credit card type) can be used to initiate the verification
process. Linkage via the Vivax WebConnection™ would
be the choice if the provider has a PC with a modem and access
to the Internet. The Vivax PlanManager™ can also receive
claims electronically from third party claims processors.
- Vivax Advantage
WebConnection™ - (used for eligibility verification,
referral submission, referral status, claim submission,
claim status, reports and messages). The advantages
of using the Internet is that large amounts of information
can be transferred quickly to the provider in an easy
to read format. The interactiveness also facilitates
the selection of data offered by the Vivax Web Server.
To take advantage of the Internet option, the provider
office requires proper hardware and access to the Internet.
- Vivax Provider
Card Reader Terminal - (used primarily to verify
eligibility and referral submission). This is a
credit card type terminal with features that make it very
adaptable for the health care eligibility verification,
referral and claims process. The user-friendly terminal
has a small footprint, an alphanumeric keypad (to type
names), and a large four-line easy-to-view display.
The terminal communicates with the Vivax Health PlanManager
via conventional telephone lines, which it automatically
dials after the member's identification number, or name
is entered. The member's identification can be entered
into the terminal three different ways (1) swiping a plastic
member card (with a magnetic stripe) through the terminal,
(2) typing the member's number into the terminal or (3)
typing the member's name into the terminal. The
terminal does not require a dedicated line and can share
a telephone line with other office equipment such as a
- >FAX - (used
primarily for submitting referrals). The Vivax WorkStation
was designed to receive and send information via fax from
and to providers.
- (used primarily for eligibility verification, referral
and claim status). The Vivax Workstation was designed
to give administrators instant access to membership records,
allowing quick response to telephone request.