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.
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
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"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
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