Eligibility Checking

Eligibility Checking products provide healthcare providers with tools to verify a patient's insurance coverage, including in-network status and covered services. They can also assess the cost of procedures in advance, enhancing transparency. Some of these products support the creation of Good Faith Estimates (GFEs), aiding patients and providers in making informed financial decisions regarding care.

View Products

View Reviews

15 Results

Rating

Transcript Reviews Available

Sort

Related Categories

Claims Clearinghouse

Clinical Documentation Integrity

End-to-End Revenue Cycle Management

Medical Coding

Patient Billing and Collection

Prior Authorization

PVerify

(1 Transcripts)

Eligibility Checking

pVerify offers patient insurance verification with real-time, API, and batch solutions for various healthcare providers.

Waystar

(1 Transcripts)

End-to-End Revenue Cycle Management

Eligibility Checking

Claims Clearinghouse

Waystar is an end-to-end revenue cycle management company, offering eligibility verification, claims submission, payment posting, denials management, and analytics.

Opkit

Payer-Facing AI Phone Calls

Eligibility Checking

Patient-Facing AI Phone Calls

Opkit is a customizable AI phone call platform with both AI agents and human agents. Common use-cases include eligibility checks, prior authorizations, denied claim appeals, formulary checks, and appointment scheduling.

SuperDial

Payer-Facing AI Phone Calls

Eligibility Checking

SuperDial is a platform for AI-enabled payer phone calls for insurance verification, prior authorization, credentialing and enrollment, and claim follow-ups.

Availity

Availity Essentials

Prior Authorization

End-to-End Revenue Cycle Management

Eligibility Checking

Claims Clearinghouse

Availity Essentials is a healthcare provider portal offering functionalities like eligibility and benefits checking , claims processing, remittance advice, provider information management, prior authorization and referral management.

Clearwave

Patient Engagement

Patient Scheduling

Patient Intake

Eligibility Checking

Clearwave automates patient scheduling, registration, eligibility verification, and communications.

Eligible

Eligibility Checking

Eligible is an insurance billing API platform that enables eligibility checks, insurance verifications, real-time cost estimations, claims filing, and accessing insurer information.

Experian

Experian Insurance Verification

Eligibility Checking

Experian Insurance Verification automates eligibility and coverage checks for providers.

Health Harbor

Payer-Facing AI Phone Calls

Eligibility Checking

Health Harbor is an AI agent that calls insurance companies for eligibility and claim status checks.

MaxRTE

maxRTE

Eligibility Checking

MaxRTE provides insurance verification software to assist with real-time eligibility and insurance discovery.

Nirvana

Eligibility Checking

Nirvana Health offers real-time mental health insurance verification and cost estimates via both API and web UI.

Pledge Health

Patient Billing and Collection

Eligibility Checking

Pledge Health offers an automated patient billing and payments platform, focusing on insurance benefit verifications, patient cost estimates, patient statements, and payment processes to enhance the financial experience for both healthcare providers and their patients

Rivet

Eligibility Checking

Risk Modeling

Rivet Health offers products for managing payer contracts, GFEs and patient responsibility estimates, and underpayment resolution.

Sohar Health

Eligibility Checking

Sohar Health enables eligibility verification and AI-powered medical coding for behavioral health providers.

Wendi

Eligibility Checking

Patient Engagement

Wendi is an AI-powered digital assistant for patient engagement from initial contact through scheduling and eligibility checking.