NC HealthConnex and You

North Carolina’s Health Information Exchange Network, NC HealthConnex, is a secure, computer-based electronic network for doctors, hospitals and other health care providers to share information that can improve your care – so that no matter where you are providers can access your information.

NC HealthConnex:

  • Links your key medical information from all of your health care providers to create a single, electronic patient health record.
  • Helps health care providers quickly access the information they need to make more informed decisions about your care, especially in an emergency.
  • Offers you peace of mind in visiting a new health care provider’s office if they are participating in NC HealthConnex.

Participation in NC HealthConnex is required of any provider receiving state-funded health care, including the State Health Plan. (See North Carolina General Statute §90-414.4.) It will enable your primary care provider and specialists to work more closely with other providers involved in your care, make better decisions about your care, and reduce the chance of medical errors. This is especially important in emergency situations, for patients with allergies, or for patients with chronic medical conditions.

For more information on the benefits of health information exchange, visit the Health Information Exchange website. Even though health care providers may be required to send NC HealthConnex your patient data if they are reimbursed by the State Health Plan, you have the right to opt out of allowing your health care data to be viewed in NC HealthConnex. For more information, including FAQs and how to opt out, see the Health Information Exchange FAQs.

Frequently Asked Questions

What is NC HealthConnex?

What is NC HealthConnex?

A health information exchange (HIE) is a secure and electronic network that gives authorized health care providers the ability to access and share health-related information across a statewide information highway. It exists to improve health care quality, enhance patient safety, improve health outcomes and reduce overall health care costs by enabling health information to be available to health care providers about their patients’ health history. NC HealthConnex is a secure electronic HIE network managed by the State of North Carolina’s Department of Information Technology that facilitates conversations between health care providers, allowing them to access and share health-related information across North Carolina.

Who is required to connect to NC HealthConnex?

Who is required to connect to NC HealthConnex?

Participation in NC HealthConnex is available to all health care providers and is required of any provider licensed in the State of North Carolina receiving state-funded health care, including funds from the State Health Plan for Teachers and State Employees. (See North Carolina General Statute § 90-414.4 and What Does the Law Mandate?)

Are patients required to participate in NC HealthConnex?

Are patients required to participate in NC HealthConnex?

No. However, when a patient’s health information is shared in NC HealthConnex, physicians are able to integrate more complete patient information into care delivery. Patients have the right to opt out of having their data viewed in NC HealthConnex. If a patient chooses to opt out of NC HealthConnex, their data will still be sent to the HIE, however, it will not be viewable to any provider who attempts to query that patient. The opt out hides the entire longitudinal record for the patient, not just the data for a specific encounter or a single organization.

For a patient, NC HealthConnex gives peace of mind when visiting a new health care provider’s office if they are participating in NC HealthConnex. If your information has been uploaded before, your provider will be able to access that data. This means they can spend less time taking down your history and spend more time treating you. This is also the case in emergency situations. If an unconscious patient is taken to the emergency department, the treating physician can access the patient’s record to view allergies, medications, or any other clinical information that may help the physician treat that patient.

If a patient opts out of having his information viewed in NC HealthConnex, will it have an effect on whether a State Health Plan claim is approved or not?

If a patient opts out of having his information viewed in NC HealthConnex, will it have an effect on whether a State Health Plan claim is approved or not?

Patient opt out has no effect on whether a claim is approved or denied. Providers in the State Health Plan network must be in compliance with state law in order for claims to be approved.

If I visit a provider in the State Health Plan network, how do I know if my claim will be approved?

If I visit a provider in the State Health Plan network, how do I know if my claim will be approved?

Providers in the State Health Plan network must be in compliance with state law in order for claims to be approved. If providers are in compliance with NC HealthConnex, claims will not be affected. To check if your provider is in the State Health Plan network, click here.

For more frequently asked questions regarding the state-designated health information exchange, please visit hiea.nc.gov/frequently-asked-questions. For questions regarding providers in the State Health Plan network, please visit https://www.shpnc.org/find-doctor.