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

Redox

Flatiron Health

Intergy by Greenway Health

Centricity EMR

Crystal Practice Management

Planmeca Romexis

MicroMD

iDentalSoft

HealthFusion

OncoEMR

iSALUS Healthcare

TouchWorks EHR

PracticeSuite

Hello Health

iPatientCare

Prognocis EMR

Brightree

Office Ally

Maximeyes

Practice EHR

Nextech

PatientNOW

Experity

Compulink Advantage

Optosys

Hello Health

American Well

PatientKeeper

SOAPware

e-MDs Solution Series

Phreesia

ClinicTracker

Epic Systems

CollaborateMD

Welligent

Medhost

Exan Power Practice

ChARM EHR

Modernizing Medicine

LiquidEHR

OmniMD

ADSTRA Dental Software

SurgiCare

MOGO Cloud Dental Software

Sevocity

ChartPerfect

Carestream Dental Software

Experity

Credible Behavioral Health

ChartLogic

Centricity EMR

Open Dental

RXNT

Redox

ACE Dental Software

VitalHealth

Prognocis EMR

Siemens Healthineers

Ingenious Med

ADSTRA Dental Software

One Medical Passport

iSirona

PrognoCIS

eClinicalWorks

MicroMD

TouchMD

SimplePractice

PracticeSuite

Carestream Dental Software

Sigmund Software

Casetabs

HealthFusion

Eyefinity

Curve Dental

Planmeca Romexis

ChiroTouch

CureMD

MTBC PracticePro

VitalHealth

NueMD

Flatiron Health

TheraNest

AdvancedMD

Provation MD

Ortho2 Edge Cloud

IntrinsiQ

AllegianceMD

LiquidEHR

Doximity

NueMD

ChartLogic EMR

GE Healthcare

eClinicalWorks

TheraNest

PatientNOW

PrognoCIS

MicroMD

Axex Dental

SOAPware

Casetabs

Nextech

Kareo

Health Gorilla

Redox

SurgiSource

iDentalSoft

PCC Pediatric EHR

PatientNOW

VitalHealth

Dentrix

Navicure

Philips Healthcare

Practice Fusion

McKesson

Healthland

PrognoCIS

Allscripts

AdvancedMD

TouchMD

AllegianceMD

NextGen Healthcare

Surgimate

CounSol

RXNT

TherapyNotes

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