Clearinghouse Gateway EDI Buys NHXS

Gateway EDI, a veteran national claims clearinghouse, has acquired NHXS, a revenue cycle management software vendor serving physician practices. Terms of the acquisition were not disclosed.


Gateway EDI, a veteran national claims clearinghouse, has acquired NHXS, a revenue cycle management software vendor serving physician practices. Terms of the acquisition were not disclosed.

Gateway, a subsidiary of payer software vendor TriZetto Group, serves more than 100,000 physicians with a variety of transactions processing services and other revenue cycle tools. It has been a partner with NHXS, which co-developed Gateway’s Reimbursement Management software in 2009 to identify improperly denied and underpaid claims.

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NHXS specializes in payer contact compliance software for physician practices. It has applications to analyze payers’ own repricing rules to identify underpayments and denials, analyze payer contract performance over time to build and compare current and proposed fee schedules, and calculate payer reimbursement and patient responsibility at the time of service.

Integration of NHXS into Gateway’s transactions processing services is another step for TriZetto toward an integrated, real-time provider/payer technology platform, says TriZetto CEO Trace Devanny. NHXS leadership will continue to run the unit.

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