PATIENT ACCESS

EligibilityAdvocates utilizes a pre-arrival workflow solution that automates many of the steps performed by associates in their attempts to financially clear patients prior to their date of service. This solution protects your revenue cycle by preventing deficiencies and integrity issues that can result in technical denials or underpayments.

reception at medical office

Streamline Financial Clearance with EligibilityAdvocates:

  • Order/Referral Management –
    Fast track pre-registration by ensuring accurate and complete physician orders are received.
  • Real-Time Insurance Verification –
    Verify insurance, detect restrictions, and search for unreported coverage.
  • Preauthorization –
    Automate authorization requests and monitor changes in patient status relative to authorized benefits.
  • Real-Time Medical Necessity Verification –
    Verify medical necessity, share results with referring physician, and generate ABN for patient signature.
  • Patient Payment Estimator –
    Identify patients’ potential out-of-pocket costs.

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