Software

Eligibility and Patient Access

A patient access solution for providers and payers 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

Real-time eligibility and benefits information

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

Accurate and timely prior authorizations

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

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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