Our Eligibility & Benefits Inquiry system enables health care professionals to request patient eligibility status instantly and securely — making your daily interactions convenient and easier.
Our Eligibility and Benefits Inquiry system enables health care professionals to request patient eligibility status instantly and securely. Making your daily interactions with us convenient and easier.
Find benefits information with ease. We include all these information right on your eligibility inquiry:
One of the simplest methods is to go directly to payer portals. Insurance companies like Blue Cross Blue Shield, Aetna, or United HealthCare allow providers to enter information directly into their portal. Look for "Member Services" or "Provider Portal" to find the payer's eligibility and benefits tools.
If your practice management system accepts many different insurance plans and providers, you may want to explore more centralized options. Tools like Availity, pVerify make it possible to check a larger number of payers in a single portal — allowing you to get information from multiple payers in one place.
Practice Management System (PMS) can check a patient's eligibility before their visit or generate an eligibility check instantly if you need a quick response. PMS can provide a detailed verification of eligibility so you can provide coverage and co-pay information to your patients immediately.
If you're more old school, you can call the payer directly. Most often you will get the payer's interactive voice response system (IVR). This is an automated system when you call an insurance company. This IVR will go through a list of questions to confirm information to provide the basics of that member's eligibility.
If you want to learn more about Medquik Solutions and real-time eligibility checks, schedule a demo now.
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