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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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.

These companies have already seen the benefits of automation...

"I’ve been amazed at Thoughtful’s ability to deploy automation modules that run my business processes while my staff focuses on other higher-value tasks. By reducing the time taken to complete the process by 90%, it has enabled us to direct our attention towards the bigger picture. Our team no longer spends more time than necessary on the minutiae of a repetitive process."

"Thoughtful has enabled us to direct our attention towards the bigger picture. Our team no longer spends more time than necessary on repetitive processes."

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Kevin Silver, CFO

235%

return on investment

90%

reduction in invoice processing time

"Thoughtful introduced a solution that eliminated a glaring gap in our billing workflow. An automation module is now part of our accounting team, performing this vital role more efficiently and at a fraction of the cost of paying a full salary to an actual employee."

"Thoughtful introduced a solution that eliminated a glaring gap in our billing workflow. An automation module is now performing this vital role more efficiently and at a fraction of the cost of paying a full salary to an actual employee."

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Zach Leonard, Founder

30%

reduction in costs

100%

automated billing

"Using automation modules significantly reduced our efforts, allowing us to optimize productivity in other core areas. Our modules continue to save us time and money in multiple ways. We couldn’t be happier with the services rendered by the Thoughtful team and their ongoing support."

"Automation modules are significantly reducing our efforts, allowing us to optimize productivity in other core areas. We couldn’t be happier with the services rendered by the Thoughtful team and their ongoing support."

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Brittany Turner, Director of Compliance and Systems

95%

faster than human team

100s

applications processed per day

Integrates with all of your systems

Flatiron Health

Remedly

Brightree

PCC Pediatric EHR

BestNotes

AllegianceMD

ONC Certified Software

WRS Health

iSALUS Healthcare

Benco Dental Practice Management

Redox

SimplePractice

Merge Healthcare

Zirmed

Valant

Experity

Practice EHR

Phreesia

One Medical Passport

My Clients Plus

HST Pathways

OmniMD

Agfa HealthCare

NueMD

ChartPerfect

Philips Healthcare

Raintree Systems

Doximity

Nextech

PCC Pediatric EHR

Redox

IntrinsiQ

CollaborateMD

HealthStream

American Well

PrognoCIS

Healthland

Medhost

NextGen Healthcare

Brighter Vision

ADP AdvancedMD

PatientNOW

Ambulatory Surgery Center Software

Valant

iSALUS Healthcare

Office Ally

TotalMD

Cerner

Optosys

CureMD

Practice-Web Dental

DrChrono

PatientNOW

Curve Dental

Redox

Virence Health

Brightree

CareCloud

Merge Healthcare

Office Practicum

MTBC

PatientPop

Kareo

Brighter Vision

EyeMD EMR

ModMed

e-MDs

PatientKeeper

QGenda

Hello Health

NueMD

Practice EHR

ClinicTracker

Bravado Health

Credible Behavioral Health

iDentalSoft

Welligent

InSync Healthcare Solutions

Compulink Advantage

Medhost

ModMed

HST Pathways

ACE Dental Software

e-MDs Solution Series

IntrinsiQ

Healthland

Casetabs

CareCloud

iSirona

Practice Fusion

LiquidEHR

GE Healthcare

Optosys

RXNT

WRS Health

ADSTRA Dental Software

Practice Fusion

Intergy by Greenway Health

Office Ally

DuxWare

AllegianceMD

Brightree

Optosys

Henry Schein Dentrix Enterprise

Office Practicum

InSync Healthcare Solutions

Healthland

Brighter Vision

ADP AdvancedMD

Experity

Axex Dental

Ortho2 Edge Cloud

PerfectServe

VitalHealth

Cerner

Practice Fusion

PCC Pediatric EHR

ChartLogic

AmkaiCharts

Epic Systems

Navicure

Kinnser Software

Availity

Health Gorilla

Open Dental

See why leading healthcare providers choose Thoughtful.

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