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.
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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.
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Experience a faster, easier and more complete way to verify eligibility.
READ MOREVerify Eligibility Data in Real-Time
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