Revenue360 Insurance Eligibility Verification
The Revenue360 Insurance Eligibility Verification Module initiates a real-time 270 eligibility request at the earliest point in the registration and scheduling process, returning customized 271 benefit information to your revenue cycle team – all based on your hospital specific business rules. Integrated with your hospital information systems, verifying insurance at the point of service allows your staff to collect co-pays and deductibles immediately while improving staff efficiency.
- Real-time access to 700+ Payers
- HIPAA compliant processing
- Customized, facility-specific response summaries
- Web-based worklisting & reporting
- One-off processing for manual verification
- Easily look-up historical responses for claim dispute resolution
- Integrate Pricing Estimation to calculate total out-of-pocket cost
- Add Payment Processing to process patient copays
- Find Retroactive Insurance coverage with the ReInquiry Module (RIM)
Revenue360® can connect to any health plan that offers real-time eligibility transactions or website eligibility access. No need to spend additional time on the phone waiting for verification or switching to payer websites to gather the information and re-enter into your registration system. And, no need to wade through the pages and pages of benefit information which slows down registration, creates errors and can delay claim payment.
With Revenue360, insurance eligibility is verified for every patient, every time – improving hospital cash flow & AR days
Revenue360 integrates with any Hospital Information System, including:
Key Advantages of the Revenue360 Eligibility Module.
Eligibility Verification Advantages For:
You want your staff to verifiy eligibility on every patient. In order to obtain accurate information, eligibility requests need to be real-time and responses customized so registars only need to view benefit data essential to that visit. How can you ensure that your staff is complying with these requirements?
Revenue360® Eligibility Verification module initiates a real-time 270 eligibility inquiry during the registration process just as soon as the necessary data elements are entered and returns an easy-to-understand 271 customized response. Your staff now has the opportunity to collect co-pay and deductible amounts up front. Revenue360® Eligibility Verification reduces claim denials, shortens reimbursement time, decreases A/R days and improves staff productivity.
- Reduce Claim Rejections
- Simplify and Increase POS Collections
- Identify Medicaid Coverage for Self-Pay Patients
- Identify & Collect on Retroactive Insurance Coverage
- Pinpoint Correct Insurance Sequence & Payer Financial Responsibility
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