Skip to Main Content

Which HIHs Offer esMD Gateway Services to Providers?

What is a Health Information Handler (HIH)?

Any organization that handles health information on behalf of a provider is an HIH. Many providers already use HIHs to perform functions such as submit claims and provide electronic health record systems. Some HIHs are beginning to offer Electronic Submission of Medical Documentation (esMD) gateway services as well. These HIHs are often referred to by a variety of names including Claim Clearinghouses, Release of Information vendors, Health Information Exchanges, and Electronic Health Record vendors. 

 

Which HIHs have been certified by CMS to offer esMD gateway services to providers?

HIH Name Send Response to Medical Documentation Request in PDF to Review Contractor Send PMD Prior Authorization Request in PDF to Review Contractor Receive PMD Prior Authorization Review Results Message from Review Contractor Send Structured Progress Notes to Review Contractor  Send Structured Orders to Review Contractor
ApeniMed  01/2012  01/2013  Not Offered  Not Offered  Not Offered
Bluemark, LLC  07/2013 Not Offered Not Offered Not Offered Not Offered
Cobius 02/2012 Not Offered Not Offered Not Offered Not Offered
Craneware 08/2012 Not Offered Not Offered Not Offered Not Offered
Dorado Systems 08/2013  Not Offered  Not Offered  Not Offered  Not Offered
Episode Alert 08/2013 Not Offered Not Offered Not Offered Not Offered
eSolutions, Inc. 01/2012  02/2013 06/2013  Not Offered  Not Offered
Health IT Plus  11/2011  01/2013  Not Offered  Not Offered  Not Offered
HealthPort  09/2011  Not Offered  Not Offered  Not Offered  Not Offered
IOD Incorporated  01/2012 Not Offered Not Offered Not Offered Not Offered
ABILITY Network / IVANS  09/2011 01/2013  02/2014 Not Offered Not Offered
LOISS, Ltd. 11/2012  Not Offered  Not Offered  Not Offered  Not Offered
Medical Electronic Attachment (MEA)  01/2012 01/2013  Coming Soon  Not Offered  Not Offered
MedFORCE Technologies 12/2012  02/2013 11/2013  Not Offered  Not Offered
Medical Records, LLC 08/2013 Not Offered Not Offered Not Offered Not Offered
MRO 10/2011 Not Offered Not Offered Not Offered Not Offered
Proficient Health  05/2012  01/2013 Not Offered Not Offered Not Offered
RISARC 09/2011  01/2013  10/2013 Not Offered Not Offered
Rycan Technologies, Inc.  07/2012  Not Offered  Not Offered  Not Offered  Not Offered
SSI  05/2012 Not Offered Not Offered Not Offered Not Offered
SunCoast RHIO, Inc.  10/2012  Coming Soon  Coming Soon Not Offered Not Offered
Verisk Health (formerly MediConnect) 08/2012 Not Offered Not Offered Not Offered Not Offered
Verisma Systems, Inc.  04/2013 Not Offered Not Offered Not Offered Not Offered

Key:    

Date = Service offered by HIH

Coming Soon = Looking to offer services

Not Offered = Service not offered by HIH at this time or service not available through CMS Gateway at this time

The following HIHs have entered into a partnering agreement with a certified esMD HIH, and have started to market esMD gateway services to providers with their own brand name:

  • CM Information Specialists / HealthPort
  • ECC Technologies' RAPID Network
  • Fastrack Healthcare Systems
  • Medi-Copy Services, Inc.
  • ScanSTAT Technologies
  • The Wellington Group, LLC
  • Wolters Kluwer Law & Business
  • Compliance 360, an SAI Global Company

Can other HIHs offer esMD gateway services to providers?

Any HIH that meets the following criteria can participate in the esMD program:

  1. The HIH has a contract with one or more Medicare providers to handle their health information.
  2. One or more of the HIH's providers have received a medical documentation request from a Medicare Recovery Auditor or MAC.
  3. The HIH has built or is building a CONNECT-compatible gateway.
  4. The HIH is willing to obtain an identity certificate and communicate that certificate key to the CMS esMD gateway contractor and ONC contractor.

HIHs that would like to become a certified esMD HIH, click the link at the left titled "Information for Prospective HIHs"

Does CMS pay certified esMD HIHs?

No.

Does CMS contract with certified esMD HIHs?

No.