Patient Eligibility

Patient Benefit Eligibility Verification is a FREE* on-line service that allows you to check patient insurance eligibility in real-time. Eligibility Verification provides a quick confirmation of patient insurance and benefit coverage that can be printed or saved on your computer.

How Does It Work?

The initial screen collects information about the patient. You can use a variety of fields to lookup a patient. Some payers even allow to search for a patient using partial patient information, such as only full name and date of birth, or just the insured ID.

Once submitted the eligibility verification takes seconds, and all results are displayed immediately. The eligibility information can be printed and included in a patient’s chart as a proof of active coverage.

The benefit eligibility data we obtain contains valuable information, such as:

	Medicare and Medicaid HMO Plan information, with the phone numbers of each HMO listed
	Patient demographics on file with the payer
	Patient address as recorded by the payer
	Total and Remaining Deductible Amounts and Co-Pays
	Dates of Coverage
	Date of Death (Medicare & Medicaid)
	Eligibility information organized to show most important items first
	Summarized or fully detailed eligibility views are available

* Free eligibility verification is available for Commercial payers only. Government payers such as Medicare Parts A & B, Medicaid, and Blue Cross Blue Shield are available by subscription of $50 per provider/month to registered users.