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.
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