ELIGIBILITY VERIFICATION

Checking a patient's insurance eligibility is often a time-consuming process fraught with billing errors, insurance coverage concerns and delays. GHN's automated Eligibility Verification solution helps streamline this process. Insurance eligibility can be verified quickly and accurately. The intuitive look up process provides healthcare providers with real-time, HIPAA-compliant insurance eligibility verification to the largest EDI VANs nationwide.

Features:

Standard look up screen, conforming all payer details to one simple view.
Batch eligibility available by utilizing standard HIPAA-approved 270/271 transactions.
Works with scheduling software in XML, flat file or text file formats.
Correct payer verification for patient.

Benefits:

Faster than the traditional manual eligibility approval process.
Batches of patient verification requests can be sent ahead of time so responses are ready to take appropriate action prior to the procedure being performed.
Eliminates frustrating callbacks.
Bi-directional, seamless integration to scheduling software streamlines medical billing process.
Improved patient service.
Savings of approximately $25 per eligibility certification.
Risk of rejected claims reduced prior to delivering services.