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Use Case

All Use Cases

PE

Patient Eligibility Verification

Adopting an automated Patient Eligibility Verification system offered by a company such as Thoughtful has numerous benefits for healthcare organizations. The automation reduces the chances of manual errors, saving time and money, and provides real-time verification for quick and accurate determination of a patient's insurance coverage. Automation reduces administrative tasks for staff, allowing them to concentrate on delivering quality patient care. Furthermore, the technology used by Thoughtful offers up-to-date information on a patient's insurance status, reducing the risk of denied claims and enhancing revenue cycle management. In conclusion, automation of Patient Eligibility Verification improves accuracy, efficiency, and financial stability for healthcare organizations.

Industry:

Healthcare

Behavioral Health

Dental

Physical Therapy

Eyecare

Medical

Function:

Revenue Cycle Management

Steps

  1. The bot will login to Office 365 and get the appointments to check.
  2. The DW will cycle through each location and insurance.
  3. The DW will login to each website, locate the patient, determine eligibility, update results sheet, and save PDF copy of Benefits to location folder for the appointment date.
  4. The DW will prepare an HL7 file with any applicable Authorization numbers and use SFTP to send the file.
  5. The DW will update the exception report for any patients that are not eligible.

Popular Applications

Our services are not limited to these applications. This bot is available for any cloud based application.

AccuPoint
AccuPoint
AdvancedMD
AdvancedMD
CentralReach
CentralReach
Cerner
Cerner
ClinicSource
ClinicSource
eClinicalWorks
eClinicalWorks
Epic
Epic
Kareo
Kareo
Lumary
Lumary
MedEZ
MedEZ
Meditech Expanse
Meditech Expanse
NextGen
NextGen
QGenda
QGenda
Solutionreach
Solutionreach
Theralytics
Theralytics
Waystar
Waystar
WebABA
WebABA
WebPT
WebPT
WellSky Personal Care
WellSky Personal Care
FL Medicaid
FL Medicaid
GA Medicaid
GA Medicaid
KY Medicaid
KY Medicaid
SC Medicaid
SC Medicaid
PA Medicaid
PA Medicaid
Eyefinity
Eyefinity

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PE

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Related

PV

Pre-Visit Payment Collection

Automating pre-visit payment collection offers numerous advantages. Automating the billing process can reduce the number of unpaid patient accounts after service delivery, which improves the financial health of the organization. It also provides accurate and transparent cost estimates to patients, empowering them to make informed decisions about their healthcare. Automation streamlines insurance coverage and eligibility identification, and allows patients to conveniently make payments, thus increasing the efficiency of the billing process. Overall, automating pre-visit payment collection can result in better financial stability for the organization, improved patient experience, and decreased administrative costs.

PS

Patient Scheduling

Automating patient scheduling offers several advantages. Firstly, it enhances the patient experience by providing flexible scheduling options, such as online booking or appointment reminders. This helps to reduce wait times and streamline the scheduling process. Secondly, automation optimizes resource utilization, such as doctors and equipment, by scheduling appointments efficiently. This reduces idle time and improves the overall efficiency of the clinic or hospital. Lastly, automation ensures accurate and consistent scheduling by using predefined criteria and rules. This minimizes errors and ensures that appointments are scheduled correctly. In summary, automating patient scheduling can improve patient experience, optimize resource utilization, and reduce administrative costs.

pc

Patient Collections

Automating patient collections can bring several advantages to health companies. Firstly, it can improve patient satisfaction by providing convenient and flexible payment options, such as online bill pay or automatic payments. This can help reduce the financial stress and burden on patients and make the payment process more convenient and efficient. Secondly, automation can increase collection rates and reduce collection costs by streamlining the process and reducing the time and resources required for manual collection efforts. This can improve cash flow and revenue cycle management, ensuring that payments are collected in a timely and efficient manner. Overall, automating patient collections can help companies provide a better patient experience, while improving financial performance and reducing administrative costs.