Commercial payor eligibility checks
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
Providers are limited by staff or technology and are only able to check Medicaid eligibility intermittently. Our Eligibility Verification product 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.
Our AI-powered automation fleet is flexible, scalable, and configurable.