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

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:

1. Admin: Requires contact information for the Administrative Contact who is enrolling the organization in the network.
2. Organization: Requires information for the organization that is enrolling in the network. 
3. 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. 
4. Verification: Requires documentation that confirms your organization and providers are legitimate HIPAA covered entities and deliver patient care.
5. 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. Some questions appear only based on your answers, as described below.

HIPAA covered entity

Indicate whether your organization is a HIPAA Covered Entity. A covered entity is a health plan, a health care clearinghouse, or a health care provider that transmits health information electronically for standard transactions such as billing.

Organizations that aren't HIPAA Covered Entities, such as cash-based or self-pay practices, typically answer No. They can still participate, but responses to their queries aren't guaranteed, because other networks are only required to respond to organizations that are HIPAA Covered Entities.

If you answer No, you'll be asked whether your organization has care locations or an individual provider that is a HIPAA covered entity.

• Yes: Your organization can enroll using an eligible care location or an individual provider information as its representative. You'll complete the Representative Information section below. This improves the likelihood of responses to your exchange queries.
• No: Continue without a representative.

Previous listing outside of Kno2

Indicate whether your organization was previously submitted or listed in TEFCA or Carequality outside of Kno2. 

Organizational Type 2 NPI

Indicate whether your organization has an organizational Type 2 NPI. If you do, enter the Organization's NPI, then indicate whether this Type 2 NPI is used for billing purposes.

Representative evidence

If you answered Yes to having a care location or provider that is a HIPAA covered entity, select the appropriate option:

A care location owned by the organization

Select the option that describes the location:

• Wholly-owned subsidiary of the Organization for which the Organization has accepted responsibility under the Terms of Participation signed by the Organization
• An operational location or department of the Organization which is not a separate legal entity from the Organization

Then enter:

• Representative's EIN (a FEIN is required before going live in the Kno2 Directory)
• Name of the care location owned by the organization
• NPI 2 for the care location
• Representative Site of Care Address (Address 1, Address 2 (optional), City, State, Zip Code)

An individual healthcare provider employed by the organization

Enter the following:

• Provider name
• Individual NPI (Type 1)
• Representative Site of Care Address
  If your organization has a site-of-care address, the site-of-care address submitted for the individual provider must match your organization's site-of-care address. 

Then select how you will provide evidence of the provider's employment relationship with the organization:

• Upload evidence
• Provide a link

When complete, click Continue at the bottom of the Organization screen.

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 care locations 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.

Use the toggle in the Make Primary column to indicate the primary site of care.

Corporate/Organization Address

You must provide a Corporate/Organization Address to proceed. To use your primary location's details, select Use my Primary Site of Care address as the Corporate/Organization Address.

If you don't select this option, enter the Corporate/Organization Address.

Select whether the organization has a physical site-of-care address.

If Yes, indicate whether the physical site-of-care address matches your corporate address or primary site. If it is a different location, please provide the full address below.

If No, specify the reason this organization doesn’t have a site of care address (home care, mobile vehicle, or virtual care). 

When complete, click Continue.

Step 4: Verification

Select the type of document that demonstrates that, within the last 90 days, your organization engaged in HIPAA standard electronic health care transactions.

You must redact protected health information (PHI) before uploading. If any PHI is visible, the credentialing authority will reject your application, and you'll be required to resubmit the application.

Keep the following items visible so your evidence can be validated:

• Provider NPI, Name, and Address: Identifies the healthcare organization involved in the transaction.
• Transaction Date: Confirms the transaction occurred within the required 90-day timeframe.
• Claim or Message ID: Provides a unique reference that helps validate the transaction.
• Transaction Outcome: Demonstrates the transaction was successfully exchanged, such as a claim payment or response received.
• Field Names and Labels (where applicable): If PHI must be redacted, remove only the value, not the field name. Keeping field names visible shows that only sensitive information was removed while preserving the context needed for review.

Example:

• ✓ Last Name [Redacted]
• ✗ Blacking out the entire row, including "Last Name"

Click Upload and select the file from your computer. Files must be in PDF format.

Select the checkbox to attest that all data provided in the submission is accurate to the best of your knowledge. Inaccurate information may result in suspension of directory access and potential termination of the partnership.

Click Continue. The button stays disabled until the required fields and the attestation are complete.

Step 5: Submit

Please review all sections of the application to make sure everything is correct. If you need to make any changes, 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

The activation portal is where you will go to add your TEFCA and Carequality integrations. While you can register for the portal now using the steps below, your integrations will not be ready to add for another 2-3 business days. You may prefer to wait and complete the entire setup process at that time.

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

Please note that it takes 2-3 business days after submitting your application for your integrations to become available. You will receive an email notification once they are ready. At that time, you will need to enter the integration details provided by RXNT into the activation portal. Follow the steps below to add your integrations.

Navigate back to the Network Settings page and click Activation Portal.

Click Open Activation Portal.

Enter the email address used for 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. 

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.

To access the remaining two credentials, select API Access (still in the Settings page). Then, select Network Integration as the Connection Type 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.

Once all fields are complete in the Integration portal, click Add.

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 (24-48 business hours for Carequality and 7-10 business days for TEFCA).

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!

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