Standardizing Electronic Information Exchange and Reducing Costs

Linxus strives to be the premier regional innovator in the New York health care market for payer-provider transaction processing. It does so by identifying best practices along with business and technical solutions and by promoting increased utilization of the administrative transaction code sets under the Health Insurance Portability and Accountability Act (HIPAA).

As a participant sponsored program, Linxus emphasizes collaboration in developing requirements for standards-based electronic healthcare data exchange, while preserving the option for all Information Technology purchasing decisions to remain with individual participating organizations.

Linxus emphasizes collaboration as the means for all participants to realize full business value from the implementation of transactions.

Version 2.0, March 27, 2009
HIPAA Transactions and Code Sets Standard Implementation Specification
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Version 2: Eligibility Verification Request and Response, Claim Status Request and Response, Claim Payment/Advice
Release Date: March 27, 2009
Version 1.0, March 28, 2008
HIPAA Transactions and Code Sets Standard Implementation Specification
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Version 1: Claim Status and Remittance Recommendations and Best Practices
Release Date: March 28, 2008
Press Releases/Document Library

Recent Press Releases & Publications

Please check back regularly for more press releases and important information regarding the Linxus mission.
Participants

Health Plans

  • Aetna
  • GHI
  • HealthFirst
  • HIP
  • Oxford Health Plans (a UnitedHealth Company)
  • WellPoint (Empire Blue Cross Blue Shield

Provider Organizations*

  • Columbia University Practice Plan
  • Continuum Health Partners
  • Memorial Sloan Kettering Cancer Center
  • Memorial Sloan Kettering Practice Plan
  • Montefiore Faculty Practice
  • Montefiore Medical Center
  • The Mount Sinai Hospital
  • New York-Presbyterian Health System
  • North Shore–LIJ Health System
  • NYU Medical Center
  • NYU Faculty Group Practice
  • Weill Cornell Physician Organization
  • Yale New Haven Health System

*Providers comprise a total of 24 individual hospitals and more than 6,000 physicians in five group practices.
Forums

Linxus Workgroups

  • Claim Status Workgroup
    The 276/277 transaction details the claim adjudication status of submitted claims (pre-finalization)...
  • Remittance Workgroup
    The 835 transaction lets providers know how their claims are settled and finalized by a health plan...
  • Eligibility Workgroup
    The 270/271 transaction is used to authenticate a patient’s eligibility for health plan benefits...

Read more about our workgroups.

A login is required to access these forums. To find out more information, contact linxus@linxus.net.