Eligibility

Move from denial to acceptance without all the bargaining

Historically accurate

Eligibility’s powerful machine learning generates reliable estimates of patient responsibility based on historical service data and claims trends.

Ongoing, unlimited checks

Thousands of checks per second enable seamless care over the long term, with ongoing authorization to identify/prevent lapses in coverage at any time.

Part of your process

Insert our Eligibility module at any point(s) of your scheduling, appointment verification, and RCM processes. Works with any clearinghouse of choice.

Detailed insured’s profile

Gain deep, instant insights into various types of coverage, deductibles, out of pocket maximums, and other payer-specific policy data.

Historically accurate

Eligibility’s powerful machine learning generates reliable estimates of patient responsibility based on historical service data and claims trends.

Automated cases

Creates cases for lapsed or inactive coverage and auto-emails patients to submit updated coverage information.

Standalone applets + building blocks for our Compositions