Insurance Eligibility Verification
Get the most accurate results from our vast payer network
with our exclusive real-time bad plan code detector.
Reduce claims denials and speed of payments with automated insurance eligibility and benefits data.
Speed up Medicare reimbursements with our automated MBI Lookup Service that returns missing or invalid MBIs along with its Medicare benefit coverage.
Keep up with increasing patient demand by leveraging automated work queues created with preset or custom alerts.
Lower your risk of bad debt by verifying insurance in real time.
Empower your patients with accurate payment estimates and accelerated registration.
View eligibility responses in an easy-to-read format that notifies you when edits or follow-ups are required.
See how Steinberg Diagnostic Medical Imaging uses Experian Health’s eligibility products to validate patient coverage in under 30 seconds.
It’s telling me their deductible, their coinsurance, their copayment, and I can accurately collect from that patient right there, at that time of service.
Read how unprecedented industry changes continue to threaten healthcare provider cash flow and why organizations must focus on eligibility in the patient access process.
An automated solution that eliminates errors and reduces denials could pay big dividends across the revenue cycle. This article breaks down the key revenue-boosting benefits of health insurance eligibility verification software.
Up to 15 million Americans may find themselves without healthcare insurance when the COVID-19 public health emergency ends. What should providers expect, and how can they help patients navigate the changes?
The southeast division of a national health care system, with 1700+ beds and $1.6B in revenue, needed better ways to find MBIs when Health Insurance Claim Numbers (HICNs) were phased out.
Learn more about Medicaid Redetermination and how you can determine coverage to protect your bottom line.
*Access our Eligibility solution through the eCare NEXT®, OneSource®, BatchSource®, Premium EDI, or EDI interfaces.