Insurance Eligibility Verification
Improve cash flow and reduce denials with real-time insurance verification
Start nowPrioritize reimbursements with automated eligibility checks
Healthcare providers are at a higher risk than ever of claim denials, rising AR days, payment delays, and non-compliance. Plus, the manual process of verifying accurate coverage is error-prone, inefficient, and time-consuming.
Using an automated process to verify coverage at the time of service will help you improve staff productivity while experiencing fewer payment delays and claim denials.
Let us help you verify coverage prior to service, so you can focus on providing the best care for your patients.
Improve cash flow
Reduce claim denials and speed of payments with automated insurance eligibility and benefits data.
Unlock Medicare reimbursement opportunities
Speed up Medicare reimbursements with our automated MBI Lookup Service that returns missing or invalid MBIs along with its Medicare benefit coverage.
Gain staff efficiency
Keep up with increasing patient demand by leveraging automated work queues created with preset or custom alerts.
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2.9 billion
Eligibility transaction in 2022
9,000
Live client sites
900
Seamless payer connections
How patient eligibility verification and MBI work together
✓ Eligibility clearinghouse: Connect to 900+ payers, with backup connectivity to minimize payer-specific service interruptions.
✓ Normalization: View patient information in eligibility responses across all payers.
✓ Data enrichment: Unlock intelligence and detailed responses from payer websites and other accurate sources.
✓ Search optimization: Find patient matches with certainty.
✓ CAQH COB Smart® data: View primacy information for relevant transactions to increase accuracy and streamline your processes.
✓ MBI Lookup Service: Improve Medicare reimbursement rates by automating MBI lookup and eliminating manual inquiries.