The Integrated Eligibility Service provides fast, accurate responses to insurance coverage inquiries and helps hospitals, clinics, physicians, and other providers to verify coverage details and identify requirements that must be completed prior to care. This service integrates with your patient management application to make verification of eligibility a quick and easy part of everyday registration and billing activities.
Participating payers include Medicare, Medicaid, Blue Cross and Blue Shield plans, commercial carriers, HMOs, PPOs, and TPAs.
Many of today's health plan benefits eligibility details include patient copay and coinsurance amounts in addition to information on coverage. Pre-Registration, Pre-Admission, and Registrars can use this information in conjunction with Patient Financial Services policies to request payment from patients and to set patient deposit requirements.