Eligibility Verification is an integrated insurance validation service that helps healthcare organizations check and monitor insurance coverage of current and potential residents to verify financial status both prior to and post admission.

Key Features

Real-time Insurance Checks Perform electronic insurance coverage checks in real-time for multiple residents and plans simultaneously

• Validate coverage prior to and after admission
• Confirm adequate insurance coverage for services

Automated Monitoring Keep track of changes in residents' coverage automatically

• Weekly batch checks to ensure valid insurance
• Eliminate reliance on manual updates from residents/families

Reporting and Analytics Gain insights into resident population and revenue cycle

• Access current and historical reports
• Analyze ideal resident mix for maximum revenue potential

Benefits

Enhanced Efficiency Streamline the insurance verification process

• Eliminate time-consuming manual work
• Perform bulk checks on multiple residents at once

Minimized Financial Risk Reduce the risk of delayed or denied payments

• Stay informed about coverage changes
• Proactively address discrepancies in insurance status

Improved Profitability Optimize resident mix for better financial outcomes

• Gain visibility into revenue cycle
• Make informed decisions on resident acceptance