Johns Hopkins Health Plans Introduces New Multi-Payer Portal

Johns Hopkins Health Plans has introduced a new multi-payer portal aimed at streamlining communication between providers and payers. This real-time platform will allow provider offices to submit and track electronic claims, claims status, remittance, and claims payment information, ultimately assisting providers with insurance claims and prior authorization requests.

The incorporation of artificial intelligence and technology from Availity Essentials will provide faster access to data, aiding providers in managing medical benefits more efficiently. Additionally, provider staff will gain valuable insights into financial and administrative transactions, with future enhancements promising more timely access to member information through improved provider reports.

The initial phase of implementation will involve the health plans of Priority Partners, Advantage MD, and Employer Health Programs, with US Family Health Plan to be added later. Johns Hopkins Health Plans, which administers provider-sponsored health plans supported by the clinical research of Johns Hopkins Medicine, serves nearly 450,000 members in Maryland and the Mid-Atlantic region.

With four health plans under its management, Johns Hopkins Health Plans oversees more than $3 billion in annual premiums. The organization also operates a Solutions and Innovations venture in collaboration with Johns Hopkins faculty and providers, translating research and ideas into digital products like the Johns Hopkins ACG® System for population health analytics.

Dr. Marina Zeltser, associate chief medical officer at Johns Hopkins Health Plans, emphasized the importance of seamless collaboration between medical providers and health plans in enhancing the patient experience. By evolving their technology and processes, Johns Hopkins Health Plans aims to improve member satisfaction as they navigate their healthcare journey.