Navicure Achieves EHNAC Healthcare Network Re-accreditation and Meets 5010 Readiness Assessment Requirements

Accreditation ensures the leading medical claims clearinghouse is adhering to health data processing standards and has taken the necessary steps to prepare for and implement HIPAA 5010


ATLANTA - August 16, 2011 - Navicure, a leading Internet-based medical claims clearinghouse for physician practices, announced today it has achieved full re-accreditation with the Healthcare Network Accreditation Program (HNAP) from the Electronic Healthcare Network Accreditation Commission (EHNAC). EHNAC's HNAP accreditation recognizes excellence in health data processing and transactions and ensures compliance with industry-established standards and HIPAA regulations. Navicure has been an EHNAC accredited clearinghouse since 2007, but organizations must apply for re-accreditation every two years. The company once again finished with a score of 99 out of a possible 100. Additionally, Navicure announced it met the requirements for EHNAC's 5010 Readiness Assessment Program by exercising due diligence in preparing for the implementation of HIPAA Version 5010.


For the HNAP accreditation, EHNAC used a consultative review process to evaluate Navicure in areas of privacy measures, systems availability and security infrastructure. In addition, EHNAC reviewed the organization's process of managing and transferring protected health information and determined Navicure meets or exceeds all EHNAC criteria and industry standards. Through completion of the rigorous accreditation process, the organization demonstrates to its clients adherence to strict standards and participation in the comprehensive, objective evaluation of its business.


"With recent changes in legislation and compliance requirements, this is a crucial time for healthcare networks to ensure that they're adhering to the latest standards in privacy, security and confidentiality," noted Lee Barrett, executive director of EHNAC. "In order to earn EHNAC HNAP accreditation, healthcare networks are required to demonstrate excellence and a commitment to ensuring the security and privacy of health data processing and transactions for their customers. Navicure joins this select group of HNAP-accredited organizations."


To successfully qualify for the 5010 Readiness Assessment Program, Navicure proved its plans and preparations for the conversion to the 5010 version of the HIPAA transactions are consistent with the Centers for Medicare and Medicaid Services (CMS) industry guidelines for analysis, testing and implementation. For more than two years, Navicure has been preparing for the transition by running their system through series of analysis and testing plans to ensure that they are fully ready for the transition.


Additionally, Navicure has become a leading provider and educational source for information about the upcoming 5010 transition. They continue to present webinars about both the 5010 and ICD-10 transitions, and host regional dinners for physicians and medical practice staff which focus on the transitions. The company also developed a free educational website,, in conjunction with the American Academy of Professional Coders (AAPC), that provides helpful information, education and direction on 5010 and ICD-10.


"Completing the EHNAC 5010 Readiness Assessment Program demonstrates our commitment to preparing for the upcoming HIPAA 5010 transition," said Jim Denny, founder, president and CEO of Navicure. "We have worked hard to prepare for the transition and this recognition solidifies that we are taking the right steps to be ready. EHNAC has set the bar for quality in electronic healthcare networks, and we will always strive to exceed these exceptional standards."


About Navicure

Navicure is a leading Internet-based medical claims clearinghouse that helps physician practices increase profitability through improved claims reimbursement and staff productivity. Serving over 20,000 healthcare providers in practices nationwide, Navicure's solutions automate account receivables processes, including primary and secondary claims reimbursement; patient eligibility verification; rejected and denied claims management; electronic remittance and posting; claims and remittance reporting and analysis; and patient statement processing. Navicure's solution is supported by its unique 3-RingTM Client Service.


Navicure is a member of the Medical Group Management Association® (MGMA®) AdminiServe® Partner Network and also received Best in KLASTM distinction for the clearinghouse services market segment as part the 2010 Top 20 Best in KLAS Awards: Software & Professional Services report. Navicure earned the same distinction in 2008. KLAS is a leading source of information on healthcare information technology vendor performance. Navicure is also the founding sponsor of, a free educational website devoted to making physician practices' transitions to ICD-10 and 5010 easier. For more information, please visit



The Electronic Healthcare Network Accreditation Commission (EHNAC) is a voluntary, self-governing standards development organization (SDO) established to develop standard criteria and accredit organizations that electronically exchange healthcare data. These entities include electronic health networks, payers, financial services firms, health information exchanges and e-prescribing solution providers.


EHNAC was founded in 1993 and is a tax-exempt 501(c)(6) nonprofit organization. Guided by peer evaluation, the EHNAC accreditation process promotes quality service, innovation, cooperation and open competition in healthcare. To learn more, visit or contact [email protected].



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