Zipnosis, PokitDok intertwine claims processing and telemedicine

By Bill Siwicki

Telemedicine technology vendor Zipnosis launched a new claims processing functionality with partner MultiCare Health System and integration partner PokitDok, at HIMSS17.

MultiCare developed a strategy to offer its virtual care platform - powered by Zipnosis - to employees and dependents as a covered benefit and wanted to make the claims process a seamless, behind-the-scenes event.

“We determined that we needed to find a simple way to manage claims submissions for our virtual visits and Zipnosis provided the right solution,” said Christi McCarren, senior vice president of retail health and community-based care for MultiCare.

Scott Brown, vice president of product and engineering at Zipnosis, concurred: “MultiCare gave us an excellent opportunity to expand the functionality of the Zipnosis platform. We thrive on finding solutions to support our clients, and our partnership with PokitDok made this one possible.”

MultiCare employees are verified as eligible for the virtual care benefit when they log into or create an account on MultiCare eCare, MultiCare’s virtual care service. They can receive diagnosis and treatment for more than 10 common conditions, including cold and flu, seasonal allergies, bladder infections and minor skin conditions.

Claims information is compiled by the Zipnosis platform and routed via PokitDok to the payer.

“Patients don’t see what’s going on behind the scenes,” McCarren said. “The collaboration between MultiCare, Zipnosis and PokitDok delivers a seamless experience for our patients."

Zipnosis previously worked with PokitDok to verify eligibility for defined populations and built on that foundation to facilitate development of the new claims functionality, Zipnosis officials explained.

“PokitDok designed claims administration tools to support emerging digital health companies like Zipnosis,” said Lisa Maki, co-founder and CEO of PokitDok. “This engagement really hit our sweet spot: working to strip costs and unproductive time out of clinical visits. We leveraged our HIPAA-compliant data connections to health insurers and payers to facilitate this new workflow. The result is quality care delivery with improved efficiency."