Eligibility & Patient Access
A real-time solution that provides patient profile and benefits insights at the point of service to ensure appropriate care delivery, as well as efficient and accurate reimbursement.
Access real-time eligibility and benefits information for providers to ensure appropriate payments are made and received by all parties.
Effectively manage referrals and prior authorizations to achieve improved patient access, as well as reduced administrative and medical costs.
Increase cost savings for payers and providers by ensuring accurate eligibility benefits information at point of service and efficiently managing member data.
Conduct automated eligibility transactions early in the process to help improve claim accuracy and associated cost savings.
Immediately communicate if a patient is eligible for the service being considered, including referrals and prior authorization needs.
Experience a seamless workflow by having real-time transactions driven from existing technology platforms.
Reduce Transaction Costs and Enable Faster Payments with Medical EDI Network
Learn how the size and capabilities of our Medical EDI Network can help you optimize your revenue cycle.
Access Hundreds of Payers for Real-Time Eligibility, Benefits Data
Learn how RESTful Eligibility API connects you to 2,100-plus payers via a simple, cost-efficient implementation.
Get Real-Time Eligibility and Benefits Verifications
Learn how access to real-time eligibility and benefits verification facilitates clean-claims, benefiting both providers and payers.