Our Multi-Payer Eligibility solution is a comprehensive web-based eligibility verification tool for Medicare, Medicaid and most major commercial payers. Using Multi-Payer Eligibility, you can verify patient coverage quickly and easily. Our eligibility solution helps automate your efforts to stay on top of changes in coverage. You won't spend valuable time on patients without coverage, non-covered services, expired coverage limits and data discrepancies. This effectively reduces denied claims and line items while improving cash collections.
Our solution produces a comprehensive Coverage Detail Report that delivers:
Our Multi-Payer Eligibility solution puts even more information at your fingertips. By connecting directly to individual payer web portals, our exclusive technology electronically retrieves and delivers important information like a patient's primary care physician, plan effective dates, prior authorization requirements and more. This means more accurate claims and less time manually searching for patient data in other locations.
Searches multiple payers at once, including Medicare, Medicaid and commercial payers.
Automates eligibility verification for Medicare Advantage, Medicare Secondary Payer, Medicare Part D, and/or QMB plans.
Easily select insurance plans and submit patients for verification
Know from the start exactly what can be billed.
Check eligibility through a convenient online interface
Integrate all your payers into one convenient location.
Verify nearly all insurance plans
Get results in just seconds in a report you can print, email or save to the patient file.
Increase staff efficiency
Verify eligibility up front and spend less time dealing with rejected and denied claims.
Increase cash flow
Submitting fewer claims that will be denied or rejected results in a higher monthly cash flow.
Protected Health Information stays secure
Rest assured that our verification process is entirely HIPAA-compliant.