For more than 20 years, we’ve developed products that help healthcare providers improve efficiencies, reduce denials and speed time to revenue. With direct connections to more than 5,500 payers and the only CMS Network Service Vendor with direct, real-time connectivity to FISS/DDE, our products deliver the most reliable patient eligibility information, real-time claim data and data analytics available.
Our philosophy is simple – we align our strategies and innovative technologies with our partners to form an unbreakable collaboration. One that gives you and your clients connectivity, actionable data insights and workflow automation solutions that significantly improve operational outcomes and revenue performance. Solutions that truly become indispensable to your clients’ overall financial health and business.
We are the eligibility experts. eSolutions has one of the largest eligibility footprints in the nation, running more than half a billion Medicare, Medicaid and commercial payer eligibility transactions annually. With the lowest eligibility error rate and an average response time of just a few seconds, your clients will get the most comprehensive, fastest eligibility data around.
In an integrated clearinghouse partner, connections are everything. At the heart of our clearinghouse is not just our 5,500 payer connections, but the innovative technology we employ to derive the payer and patient information your clients need to be profitable.
We work hand in hand with industry-leading practice management systems, electronic health record solutions, collection agencies, payers and billing companies to ensure we empower our partners and their clients with the most efficient claim submission and management options available.
TITAN – Performance Insights
Give your clients the edge with TITAN, our performance insights platform. TITAN helps providers not just see moving targets, but hit them head on. TITAN seamlessly integrates into your system to deliver key performance indicators (KPIs), proactive notifications and guided analysis around financial and operational revenue cycle metrics. TITAN harnesses remittance data from an exclusive database of more than 400,000+ providers to help providers identify and address factors driving claim denials, reimbursement delays and other issues impacting their bottom line.
eSolutions’ foundation is built on decades of Medicare expertise coupled with exclusive technology that connects directly to FISS/DDE in real-time in a way no other vendor can. Partnering with eSolutions to integrate our proven Medicare capabilities and data into your portfolio will transform the way you do business. We do all the hard work in connecting to Medicare’s cumbersome system, submitting claims, tracking them and following them closely through to payment so you don’t have to.
eSolutions is a CMS Network Service Vendor and Health Information Handler (HIH) and has earned HITRUST CSF Certification for its Medicare and denial management solutions.
eSolutions is for partners who want to
Increase client retention and satisfaction
Help clients realize an ROI of 2-8 times their investment
Reduce their clients’ problematic claims
Automate their clients’ revenue cycle to eliminate manual processes and labor costs