Eligibility Checker: Medical insurance eligibility and benefits verification

Streamline your workflow with instant eligibility and benefit verification.

Eligibility Checker gives you instant secure access to 780+ health payers from your Salesforce platform, allowing you to check eligibility and benefits, obtain real-time authorizations, check referrals, and more—all at very low cost to you.

  • Eligibility Checker gives you secure access to 780+ health payers including Medicare and Medicaid, allowing you to check eligibility and benefits, obtain real-time authorizations, check referrals, and more—all at very low cost to you.

Benefits –

  • Improve Productivity
    Free up your staff with instant eligibility checks
    Automatically update benefits in Salesforce
  • Reduce Cost & Increase in Revenue
    Save up to 40% in operational costs
    Increase cash collection & avoid debt
  • Reduce Billing Errors & Denials
    Real-time access to patient/payer information
    Improve patient satisfaction
  • Superior Reporting & Analytics
    Customize reports based on your practice specialty and other factors
  • Salesforce integration & security
    Integrate & automate benefits verification in Health Cloud or Service Cloud
    Use Salesforce API’s to integrate with other software
  • Procedure-specific verification
    Coverage data on up to 187+ service types.

 

  • Eligibility checker will confirm the following patient benefits on each date of service:Demographic data – if the information on the insurance identification card is up to date and correct for that date of service
  • Coverage – whether the patient has valid coverage on the date of serviceBenefit options – patient responsibility for copay and coinsurance
  • Prior authorization requirements – confirming authorization for treatment from appropriate sources, if applicable.Eligibility Checker supports Medicare and Medicaid, subject to enrollment and approval from the payer.

 

Please spend a few minutes to watch the video below to know more about this product