Use Case

Lack of ELIGIBILITY AND PRE-AUTHORIZATION

—Verify patient insurance coverage in real-time. —Access current health plan information such as deductable, max out of pocket, coinsurance, co-pay, limitations, and exclusions. —This data gives a snapshot of a person’s health coverage and serves as a starting point for many patient engagements.

Manual CLAIMS SUBMISSION

—Submit claims electronically to payor, saving time and reducing overhead costs. —Improve clean submissions and decrease denial for faster reimbursement cycles


Solution