Improve net revenue and cash flow by verifying insurance eligibility and benefits before services are provided.

Eligibility and Benefits Verification is part of MedAssets’ Access Integrity suite of solutions designed to help providers manage and complete all registration activities necessary for financial clearance.

• Reduces claim rejections and decreases bad debt by identifying ineligible patients and services in advance 
• Enables benefit verification to be an automatic part of the registration workflow, increasing productivity and reducing time to gather eligibility and referral data from payors 
• Stores transaction results, making eligibility data available throughout the revenue cycle process 
• Parses 271 responses into an easy-to-read format, allowing users to select and save benefit information to be applied to the account and patient estimate 
• Imports eligibility responses in seconds, eliminating data entry costs and saving administrative dollars 
• Performs real-time verification without manual intervention and returns responses to the patient registration system, eliminating duplicate data entry and errors 
• Obtains reimbursement for the most difficult and complex self-pay and indigent disability patients 
• Offers professional guidance through difficult federal, state and community benefit program applications 
• Provides follow-up to assure eligibility acceptance

Assure the patient and the services you are about to provide are covered by the patient’s insurance company during the pre-registration and registration process. With Eligibility Verification, requests are made and responses are returned and presented in an easy-to-read format that highlights the specific benefits applicable to a visit. Eligibility Verification gives you access to more than 400 payors, along with the option of confirming a patient’s eligibility and benefits in both real-time and pre-service batches.

Eligibility Verification can be used with any registration system without disrupting workflow. Eligibility and benefits information is stored and made available for use during the insurance follow-up process. Eligibility Verification supports verification requests, authorizations, pre-certifications and referrals.