Solutions for HealthCare EDI

HIPAA EDI 270 & EDI 271 Patient Eligibility

We at SoftCare Healthcare believe that Electronic Patient Eligibility is the “Killer App” in Healthcare as finding out a patient’s insurance eligibility is the key first step in the implementation of a successful e-business strategy for Healthcare. Electronic Patient Eligibility allows a provider the ability to:

• Determine if a patient has insurance

• What services are covered under the patient’s policy?

• What are deductibles, co-pays, payment capitations for the patient based on their insurance coverage?

• Determine how much the patient should pay for a service and how much will be covered by their insurance.

 

The benefits to implementing electronic patient eligibility are:

• Reduced cost to determine eligibility

• Improved cash flow by determining patient payment requirements prior to services being provided as opposed to months afterwards

• Reduced un-compensated care

 

More Information on Eligibilty Solutions from SoftCare

Download the WhitePaper "Electronic Patient Eligibility The Killer App in Healthcare"

Download the Customer Case Stidy "Accumed Billing Electronic Patient Eligibility"

Watch the Video "Three Things You Should Know About Electronic Patient Eligibility"

 

 

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