Eligibility

Instant verification.
Instant gratification.

Check eligibility on the fly and know your patients’ coverage—with instant access to all in-network payers. You don't have to pick up the phone or rely on multiple sources. Benefit information across hundreds of payers is available in one invaluable place.

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    Eliminate worry or uncertainty around patient coverage
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    Save time and stress with a single source of truth
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    See everything you need at a glance
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    Get a consistent experience for every payer
Illustration of 2-way communication technology lines. Illustration of 2-way communication technology lines.

How it works.

Select
a provider
Choose
a payer
Enter
patient information
And just like that, you get instant access to comprehensive eligibility information like plan benefits, deductible, co-insurance, limitations, and more.

Eligibility in realtime. Really.

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Where eligibility meets transparency.

Stop running around and chasing information from multiple payer websites. Start saving time and immediately share patient out-of-pocket costs and reimbursements. Eligibility provides immediate transparency around payer eligibility via an easy-to-use dashboard. So providers always get consistent information—integrated right into their practice management software. Everyone wins. Everyone saves time. Now and well into the future.

All the payers. All the plans. All in one place.

Forget about remembering multiple payer dashboard logins. Get everything you need right away. All in one helpful place. Eligibility also makes it easy to immediately confirm if a patient’s information and insurance is accurate and up-to-date. Go to one site to check across hundreds of payers. See all benefit levels at a glance. It all helps ensure smooth, clean claims down the line. And gets you paid faster.
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Better patient experiences. Each and every time.

Manage, meet, and even exceed patient expectations. They won’t ever have to wait to find out how much they owe. Decisions about procedures can be made faster when patients have accurate, up-to-date coverage information at the time of their visit.

Key Features

One Centralized Dashboard

One easy-to-use dashboard provides eligibility information in real time across all payers. Payers can even customize how benefits are displayed.

Integrated with Practice Management Software

Minimize clicks and data entry. Eligibility integrates right into your existing practice management software.

Standardized File Format

Eligibility utilizes HIPAA, EDI 270/271 to keep things streamlined. Everything is standardized in X12 formatting.
Secure and Compliant
Why add stress or worry? Our safe, secure, smart system is also always HIPAA-compliant.
Ready to make eligibility easier
Let's Go

What our clients are saying...

“It makes claims eligibility so easy to look up and also fast. You can submit claims and any problems you encounter have a resolution only a button away. I am so happy with it.”
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Our products are better together

Each product is powerful alone but they’re even better when used together.
Credentialing
Effortless credentialing.
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Eligibility AI
Automated verifications.
Intelligent eligibility.
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Claims
Submit Claims Correctly. The First Time
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Attachments
Stay connected. Including attachments.
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Claim Status
End-to-end visibility. Instant claim status.
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ERAS
Automated ERA workload. Accelerated revenue cycle.
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Merchant Services
Collect more doing less.
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Patient Statements
Take the paper out of your work.
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Dental Billing services
More time on patients. Less time on admin tasks.
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