Eligibility and Patient Access

A patient access solution for providers, payers, and administrators who want to improve claim accuracy and help support timely, appropriate care with access to real-time eligibility and benefits verification and authorization requirements. 


4features for improving patient access

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Real-time eligibility and benefits information

Help improve claim accuracy by ensuring up-to-date eligibility and benefits information is used. 

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Accurate and timely prior authorizations

Help support timely, efficient authorizations by enabling electronic interaction between providers and payers via our expansive network. 

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Achieve efficiencies with a seamless workflow

Simplify workflows by integrating our solutions into your current technology platforms.

What's included

  • Provider self service

    • Access real-time transactions with a direct or hosted connection
    • Verify eligibility and benefits prior to care
    • Help support appropriate care is delivered and reimbursed
    • Access to more than 1 million physicians and 2,400 payers in our network
  • Regulatory compliance

    • Facilitate regulatory compliance
    • Connect to virtually any system for all payer-to-provider HIPAA-mandated transactions
    • Facilitate HIPAA and CORE compliance and government benefit reporting mandates
    • Use a clearinghouse that is ENHAC certified


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Our experts will:

  • Discuss your individual use case and business needs
  • Explain our features, benefits, and services
  • Show how this solution can help achieve your goals

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Thank You

We appreciate your interest in Change Healthcare. A member of our team will contact you to better understand your needs and discuss potential solutions.

Together, we are accelerating the journey toward improved lives and healthier communities.