Experience a faster, easier and more complete way to verify eligibility. Use automated verification with unique real-time batch processing through a direct gateway connection to payers. Benefit from our years of experience interpreting health plan data files.Get Started
Eligibility Manager makes it easy for IPAs, MSOs, or any population health, delegated group, or managed care organization to efficiently manage changes to healthcare member eligibility. Users can effortlessly reconcile their own data against data from all payers. The program takes a full or partial list of members from a health plan as input and creates a list of membership changes.
Not only will you have a high level of control over your eligibility data while having the ability to in-load and accurately audit quickly, but you can also identify members that have dropped from the health plan list as well as manage any number of entities contracted with any number of plans.
Eligibility Manager is fully customizable to load and export eligibility data in any format, including ANSI X12 HIPAA formats. Combined with DataTug™, Eligibility Manager enables users to save hours with automatic online eligibility verification.
What sets this solution apart from others? First, its unique design allows for implementation of custom processing for any health plan data format, health plan data issues, and client business rules. Second, powerful yet easy-to-use auditing tools enable eligibility analysts to quickly find and correct data issues.
DataTug™ is a unique product that quickly and accurately provides eligibility verification for any health plan, saving you time and effort, and increasing your productivity. Using a flexible data interface that allows for searches of members in multiple file formats, DataTug extracts required data automatically from health plan websites and ANSI X12 270/271, and other data portals.
Cedar Gate’s enterprise performance management analytics and administration platforms reduce risk, enhance financial performance, and improve patient outcomes for healthcare organizations across the value-based care continuum.
Capture, organize, and utilize all valuable data sets securely and easily.EXPLORE
Empower your team with timely information to take action and reach performance goals.EXPLORE
Transform the way you report on your business with these intelligent tool sets.EXPLORE
Support medical management activities across the care continuum.EXPLORE
Manage patients effectively from chronic conditions to transitions of care.EXPLORE
Administer retrospective and prospective bundled payment arrangements with clinical excellence.EXPLORE
Operate multiple lines of business with claims and benefits administration, eligibility, capitation reconciliation, financial management and more.EXPLORE
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