Coming Soon! Get ready to expand your network—our new national interoperability features are launching in late July.
About
Unlock seamless access to external patient records with RXNT’s new interoperability settings
RXNT now offers providers a streamlined way to connect with national health networks through our initial integration with the Trusted Exchange Framework and Common Agreement (TEFCA), powered by Kno2’s QHIN connectivity. This integration allows your practice to send, receive, and find patient records across participating networks, including Carequality and TEFCA, for treatment purposes.
Key features include:
- C-CDA Document Workflows: Easily send, receive, and search for patient records using Kno2’s Communication API.
- Live-View Access: View external records in real time without storing them in RXNT, ensuring up-to-date information at the point of care.
- Centralized Settings: Manage your practice’s QHIN participation through a dedicated Interoperability Settings page.
- Reliable Data Exchange: Ensure consistent, high-quality responses to organizational record requests.
With these enhancements, RXNT providers can seamlessly collaborate across the national health ecosystem, giving your team the tools to access critical patient information whenever and wherever it’s needed.
Interoperability network participation
Access
One designated user who is ID.me verified and has the Practice Administrator role must enable and enroll in the interoperability network on behalf of the organization.
Once submitted, the application will be reviewed by our partner, Kno2, which typically takes 7 to 10 business days for approval.
Interoperability network settings are accessed from the RXNT product dashboard. Click the Settings gear, then scroll the menu and click on Settings.
Expand Interoperability, then click Network Settings.
Enable
Click the Enable Interoperability Network Participation for this Company toggle.
Enrollment process
The enrollment process consists of completing the 5 steps of the Network Settings, followed by adding your integrations in the Activation Portal.
Network settings
Completing the network settings consists of 5 steps:
- Admin: Requires contact information for the Administrative Contact who is enrolling the organization in the network.
- Organization: Requires information for the organization that is enrolling in the network, such as NPI, URL, Address, etc.
- Sites: Requires the user to select locations that deliver patient care and should be included in the national exchange. Applies to organizations with more than one site or location.
- Verification: Requires documentation or links that confirm your organization and providers are legitimate healthcare entities and deliver patient care.
- Submit: Allows the user to review all information provided in steps 1-4, edit any details if needed, and submit the information on behalf of the organization.
Take a look at the steps below to see images that highlight the details of each step.
Step 1: Admin
As the Administrative Contact, complete all fields displayed. When complete, click Continue.
Step 2: Organization
Complete all fields for your Organization, then click Continue.
Step 3: Sites
Here, you’ll find a list of all the locations connected to your company (if your practice has multiple locations in RXNT).
Decide which locations that deliver patient care should be included in the national exchange.
Click the chevron (∨) icon to expand the site and review or update the Site Information if needed.
Use the checkboxes to select the locations you wish to include.
To easily choose all sites, use the main checkbox.
Use the toggle in the Make Primary column to indicate the primary site of care,
When complete, click Continue.
Step 4: Verification
In this step, you will:
- Select the care model that best describes your organization,
- Provide verification links or PDF documentation proving the organization is a health care provider and a covered entity under HIPAA, and
- Provide written explanations of your health care services and patient interaction methods
Once complete, click Continue.
Step 5: Submit
Please review all sections of the application to make sure everything is correct. If you need to make any changes, just click the Edit button for the section you want to update.
Before you click Submit, take a moment to read and complete the Attestation.
Awaiting approval
Once your application is submitted, your network status will be:
Initial Network Activation — Initial network setup is complete, network approval may take several days.
Once approved, the account status will update to:
Network Approval — Network approval has been completed. Preparing for activation. This step may take up to two business days.
Activation portal
While waiting for network approval, you can go ahead and register for the activation portal and add your integrations. Just follow the steps outlined below.
Register
You will receive an email informing you the administrator (likely yourself) has begun the process of setting up your integration account. Click Complete Setup to register for the activation portal (required).
Create a password and confirm it, then click Register.
Access activation portal
At this point in the process, you'll need to enter all the integration details (provided by RXNT) into the integration activation portal.
Navigate back to the Network Settings page and click Activation Portal.
Click Open Activation Portal.
Enter the email address used network enrollment, and the password you created during registration, then click Continue.
To move forward, you can either download the Auth0 Guardian app for multi-factor authentication, or select Try another method.
In this example, we'll choose Try another method.
Choose your preferred method of multi-factor authentication.
In this example, we'll choose google Authenticator or similar.
Open your preferred Authenticator app and scan the QR code. When the app gives you an OTP (One-time passcode), enter it here, then click Continue.
Or, you can choose Try another method to complete MFA in a different way.
Make sure to copy your recovery code in case you need it for future logins (if you lose access to your configured MFA method). Click Continue.
To set up a passkey using fingerprint or facial recognition for faster future logins, click Continue (available on supported devices). To skip this step, click Remind Me Later to be prompted again next time, or Not on This Device to opt out permanently on this device.
Click the link to review the Terms of Service. Once reviewed, select the checkbox labeled I agree to terms and conditions, then click Close.
Review the welcome message and click Ok to proceed.
Add integrations
Click the Settings gear, then select API from the menu.
Under Integrations, click Add Integration.
Choose either Carequality or QHIN from the dropdown to start. Both integrations are required for interoperability, you'll need to repeat this process for the other.
Now, you'll need to enter the values from the Activation Portal Info in RXNT Settings into the matching fields here in the Integration Portal.
💡 Tip: Navigate back to your RXNT Settings tab where the Activation Portal Info is displayed. Once there, set up a split view in your browser with both the RXNT Settings tab and the Integration Portal tab side by side - this way you can copy and paste each value without switching back and forth between tabs.
Enter each of the following values into the corresponding fields, referencing the image below. Note that Authentication Type and Document Http Method are selected via dropdown, while the remaining fields require you to copy and paste the value directly:
- Integration URL — copy and paste
- Authentication Type — select "OAuth2 Client Credentials" from the dropdown
- Token URL — copy and paste
- Patient Query — copy and paste
- Document Http Method — select "POST" from the dropdown
- Document Query — copy and paste
- Document Retrieval — copy and paste
Client ID and Client Secret are not included here — we'll add them in the next step.
If you lost the RXNT Settings window, just navigate to RXNT > Product Dashboard Settings > Network Settings, then click Activation Portal.
To access the remaining two credentials, you'll need to expand the Login Management tab (still in the Settings page), and click API Access.
Scroll down to the Network Integration section and click Generate Credentials. If credentials have already been created, click Regenerate Secret instead.
Click Confirm in the confirmation modal.
Once the Client ID and Client Secret have generated, copy each field and paste it in the Integration Portal.
The same Client ID and Client Secret must be entered in BOTH Carequality and QHIN integrations. Once copied, keep these stored in a secure location as you'll need to paste them once more when you add the second integration. Both the Client ID and Client Secret are highly confidential.
Once all fields are complete in the Integration portal, click Add.
When adding the QHIN integration, the Purpose of Use Codes section expands with "T-IAS (Individual Access Services)" and "T-TRTMNT (TEFCA Required Treatment)" automatically selected. You can leave these as-is.
As a reminder, repeat this process for whichever integration you haven't added yet — either Carequality or QHIN. Once both are added in the Integration Portal, you've completed the enrollment process and can await approval. Note that approval can take anywhere from several days up to 10 business days.
Enrollment approved
Once approved, your network status will display Ready to use, indicating that your approval is complete and your staff can now access external medical records directly within patient charts. Click here to learn more about accessing the external medical records!
Still, need help? Contact us!
Have a great idea? Tell us about it!