Eligibility Verification
Every patient’s eligibility is checked, verified, and optimized so you get paid on time and in full.
95%
faster than a human team
20%
decrease in denials due to eligibility discrepancies
11x
increase in frequency of eligibility checks
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Key Features
Commercial payor eligibility checks
Catch eligibility changes before they become denials.
Catch eligibility changes prior to all patient visits to prevent claim denials downstream. Our Eligibility Verification automation can initiate communication with the patient and/or payor to resolve eligibility issues with little to no impact on the patient and on the revenue cycle. As eligibility rules change across payors, Eligibility Verification houses a dynamic rules engine that’s seamless to update. It can even initiate communication with the payor or provider to resolve unexpected changes in eligibility status.
Medicaid eligibility checks
Always have complete and up-to-date Medicaid eligibility details.
Providers are limited by staff or technology and are only able to check Medicaid eligibility intermittently. Our Eligibility Verification automation continuously monitors each state’s Medicaid site directly and handles all nuances across various Medicaid providers. With Eligibility Verification, all statuses are current in your EHR and any exception workflows are accommodated.
Collect more money, faster.
Higher capacity, less headcount.
Acquire and retain more patients.
Cara Perry
VP of Revenue Cycle Management
Signature Dental Partners
It's like training a perfect employee, that works 24 hours a day, exactly how you trained it.
Cara decreased days sales outstanding to 45% below industry standards
One Platform, Endless Integrations
Thoughtful's AI agents can operate all of your systems.
Achieving Guaranteed Outcomes and ROI
Join leading healthcare providers and:
- Collect more money, faster
- Higher capacity, less headcount
- Acquire and retain more patients
Request Demo