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Real Time Eligibility
eligibility
Real Time Patient Insurance Eligibility.

WCH Service Bureau Real Time Eligibility application eliminates the need for the healthcare provider to spend a lot of time calling insurance companies or searching on their web portals for patient eligibility information.

From our years of experience in the healthcare industry, we know the importance of patient eligibility. It helps prevent denied claims and reimburses the service that you provided.

With this application, you can check patients’ eligibility easily with the insurances that you need. Just enter the basic information and receive eligibility information quickly, including coverage status, the type of health plan, group deductibles and specific co-pays.

Benefits of the application:
Complete online
Complete online (Available 24 X 7 X 365)
Predetermine the Deductible and Physical Therapy CAP limit
Predetermine the Deductible and Physical Therapy CAP limit (especially for Medicare beneficiaries)
Eliminate time-consuming phone calls
Eliminate time-consuming phone calls
Over 300 payers accessible through a single sign-on
Over 300 payers accessible through a single sign-on
Print eligibility info directly from the site
Print eligibility info directly from the site
Verify eligibility on every bill to prevent rejected claims
Verify eligibility on every bill to prevent rejected claims
Improve your cash flow by correctly collecting co-payments and service fees up front
Improve your cash flow by correctly collecting co-payments and service fees up front
Get the most correct and up to date insurance eligibility information
Get the most correct and up to date insurance eligibility information
Insurances | Checking successful
  • AARP
    yes
  • AETNA
    yes
  • Aftra Health Fund
    yes
  • American Postal Workers Union (APWU)
    yes
  • AmericChoice of New Jersey (Commercial)
    yes
  • AMERIGROUP
    yes
  • BCBS of Connecticut (Wellpoint)
    yes
  • BCBS of New Jersey (Horizon)
    yes
  • BCBS of New York (Empire)
    yes
  • Blue Cross of California (Wellpoint)
    yes
  • Blue Shield of California
    yes
  • CIGNA
    yes
  • ConnectiCare
    yes
  • Fidelis Care New York
    yes
  • Government Employees Hospital Association (GEHA)
    yes
  • Great-West Healthcare
    yes
  • Healthfirst New York
    yes
  • HIP NY
    yes
  • Humana
    yes
  • Medicare Part A and Part B
    yes
  • MVP Health Care (New York)
    yes
  • National Association of Letter Carriers (NALC)
    yes
  • Oxford Health Plans
    yes
  • Principal Financial Group (Principal Life)
    yes
  • TRICARE-All Regions
    yes
  • Unicare (Anthem Wellpoint-All States)
    yes
  • United Healthcare
    yes
  • USAA Life Insurance Company
    yes
Insurances | Available by request. Contact us for adding this insurance.
  • Acordia National - Mohawk ⁄ Hickory Springs
    no
  • Aetna Long Term Care
    no
  • AFLAC - Dental
    no
  • Alabama Medicaid
    no
  • AMC - Alaska Electrical Health & Welfare Fund
    no
  • AMC - American General Life and Accident
    no
  • AMC - Health Future
    no
  • AMC - Poly America
    no
  • AMC - Touchstone PSO
    no
  • American Community Mutual
    no
  • American Family Insurance Group - Medicare Supplemental
    no
  • AmeriHealth Administrators
    no
  • AmeriHealth Mercy Health Plan
    no
  • Ameritas Group - Ameritas Life Insurance Co.
    no
  • Ameritas Group - First Ameritas of New York
    no
  • Ameritas Group - First Reliance Standard Life
    no
  • Ameritas Group - Reliance Standard Life
    no
  • Ameritas Group - Standard Insurance
    no
  • Ameritas Group - Standard Insurance of New York
    no
  • Arizona Medicaid (AHCCCS)
    no
  • Arizona Physicians IPA (APIPA)
    no
  • Arkansas Medicaid
    no
  • Assurant Health - John Alden Insurance Company (JALIC)
    no
  • Assurant Health - Time Insurance Company (FIC)
    no
  • Assurant Health - Union Security Insurance Company (FBIC)
    no
  • AultCare
    no
  • AvMed Health Plans
    no
  • Arizona Physicians IPA (APIPA)
    no
  • Arkansas Medicaid
    no
  • Assurant Health - John Alden Insurance Company (JALIC)
    no
  • Assurant Health - Time Insurance Company (FIC)
    no
  • Assurant Health - Union Security Insurance Company (FBIC)
    no
  • AultCare
    no
  • AvMed Health Plans
    no
  • BCBS of Alabama
    no
  • BCBS of Arizona
    no
  • BCBS of Arkansas
    no
  • BCBS of Central New York
    no
  • BCBS of Colorado (Wellpoint)
    no
  • BCBS of Florida
    no
  • BCBS of Georgia (Wellpoint)
    no
  • BCBS of Illinois
    no
  • BCBS of Indiana (Wellpoint)
    no
  • BCBS of Iowa
    no
  • BCBS of Kansas
    no
  • BCBS of Kansas City
    no
  • BCBS of Kentucky (Wellpoint)
    no
  • BCBS of Louisiana
    no
  • BCBS of Maine (Wellpoint)
    no
  • BCBS of Massachusetts
    no
  • BCBS of Michigan
    no
  • BCBS of Minnesota
    no
  • BCBS of Mississippi
    no
  • BCBS of Missouri (Wellpoint)
    no
  • BCBS of Nebraska
    no
  • BCBS of Nevada (Wellpoint)
    no
  • BCBS of New Hampshire (Wellpoint)
    no
  • BCBS of New Mexico
    no
  • BCBS of New York (Excellus)
    no
  • BCBS of North Carolina
    no
  • *BCBS of North Dakota
    no
  • BCBS of Ohio (Wellpoint)
    no
  • BCBS of Oregon (Regence)
    no
  • BCBS of Pennsylvania (Highmark)
    no
  • BCBS of Rhode Island
    no
  • BCBS of South Carolina
    no
  • BCBS of South Dakota (Wellmark)
    no
  • BCBS of Texas
    no
  • BCBS of the Rochester Area (NY)
    no
  • BCBS of Utica-Watertown (NY)
    no
  • BCBS of Virginia (Wellpoint)
    no
  • BCBS of West Virginia
    no
  • BCBS of Wisconsin (Wellpoint)
    no
  • BCBS of Wyoming
    no
  • Best Choice Health Plan
    no
  • Best Life and Health
    no
  • Better Health Plans (Unison Health Plans)
    no
  • Blue Cross Independence (Pennsylvania)
    no
  • Blue Cross Northeastern Pennsylvania
    no
  • Blue Cross of Idaho
    no
  • Blue Cross of Washington and Alaska (Premera)
    no
  • Blue Cross Pennsylvania (Capital)
    no
  • Blue Exchange 1 (Pass-Through) (Wellpoint)
    no
  • Blue Exchange 1 (Wellpoint)
    no
  • Blue Shield of Pennsylvania (Highmark)
    no
  • Blue Shield of Washington (Regence)
    no
  • Bluegrass Family Health
    no
  • California Medicaid (Medi-Cal)
    no
  • Capital District Physicians’ Health Plan (CDPHP)
    no
  • Carefirst - Federal Employee Program
    no
  • Carefirst Blue Cross Blue Shield
    no
  • CarePlus Health Plan
    no
  • CareSource Health
    no
  • Cariten Healthcare
    no
  • Cariten Senior Health
    no
  • Central Reserve Insurance Company
    no
  • Central States Fund
    no
  • CHAMPVA/Spina Bifida/Children of Women Vietnam Vets
    no
  • CHC - Advantra (TX, NM, AZ Only)
    no
  • CHC - Advantra Savings
    no
  • CHC - Altius Health Plans
    no
  • CHC - Avantra Freedom
    no
  • CHC - Care of South Carolina
    no
  • CHC - Coventry Health and Life - Nevada
    no
  • CHC - Coventry Health and Life (Oklahoma)
    no
  • CHC - Coventry Health and Life (Tenn)
    no
  • CHC - Coventry Health Care Carelink (Advantra)
    no
  • CHC - Coventry Health Care Carelink Medicaid
    no
  • CHC - Coventry Health Care Carenet
    no
  • CHC - Coventry Health Care Federal
    no
  • CHC - Coventry Missouri
    no
  • CHC - CoventryOne
    no
  • CHC - Delaware
    no
  • CHC - Diamond Plan (Maryland Medicaid)
    no
  • CHC - Georgia
    no
  • CHC - Group Health Plan (GHP)
    no
  • CHC - HealthAmerica & HealthAssurance
    no
  • CHC - HealthCare Inc. (Promina)
    no
  • CHC - HealthCare USA (HCUSA)
    no
  • CHC - Iowa
    no
  • CHC - Kansas
    no
  • CHC - Louisiana
    no
  • CHC - Nebraska
    no
  • CHC - OmniCare (Michigan)
    no
  • CHC - PersonalCare
    no
  • CHC - Southern Health Services (SHS)
    no
  • CHC - University of Missiouri
    no
  • CHC - Vista (MCD, FHK, LTC)
    no
  • CHC - WellPath Select (Carolinas)
    no
  • Colorado Access
    no
  • Colorado Medicaid
    no
  • Columbia United Providers
    no
  • Health Partners of Philadelphia
    no
  • Health Plan of San Mateo
    no
  • Healthcare Solutions Group
    no
  • Healthfirst of New Jersey
    no
  • HealthPlus of Michigan
    no
  • HealthSpring
    no
  • Hometown Health
    no
  • Horizon NJ Health
    no
  • Humana of Florida
    no
  • Idaho Medicaid
    no
  • Illinois Medicaid
    no
  • Independence Administrators
    no
  • Indiana Medicaid
    no
  • Inland Empire Health
    no
  • Inter Valley Health Plan
    no
  • Iowa Medicaid
    no
  • Jackson Memorial Hospital Health Plan
    no
  • Jefferson Pilot
    no
  • John Hopkins Health Plan
    no
  • Kaiser Foundation Health Plan of Colorado
    no
  • Kaiser Foundation Health Plan of Hawaii
    no
  • Kaiser Foundation Health Plan of Ohio
    no
  • Kaiser Foundation Health Plan of the Mid-Atlantic
    no
  • Kaiser Foundation Health Plan of the Northwest
    no
  • Kaiser Permanente of Georgia
    no
  • Kaiser Permanente of Northern CA
    no
  • Kaiser Permanente of Southern CA
    no
  • Kansas Medicaid
    no
  • Kentucky Medicaid
    no
  • Keystone Mercy Health
    no
  • Kitsap Physician Services
    no
  • Louisiana Medicaid
    no
  • Lovelace Health Plan
    no
  • Mail Handlers Benefit Plan
    no
  • Maine Medicaid
    no
  • MAMSI Health Plan
    no
  • Maricopa Care Advantage (Arizona)
    no
  • Maricopa Health Plan (Arizona)
    no
  • Maryland Medicaid
    no
  • Massachusetts Medicaid
    no
  • MedCost Benefit Services
    no
  • Medica
    no
  • Medical Mutual of Ohio
    no
  • Mega Life (Chesapeake National Life)
    no
  • Mega Life (Mid-West National Life)
    no
  • Mega Life (Oklahoma City)
    no
  • Mega Life (TransAmerica Life)
    no
  • Mega Life and Health Insurance
    no
  • Memorial Care - MIAC
    no
  • Memorial Care - MIAC - WHHS
    no
  • Mercy Care Plan (Arizona)
    no
  • Mercy Health Care Plan
    no
  • MetLife Dental Family
    no
  • Metropolitan Health Plan (MHP)
    no
  • Michigan Medicaid
    no
  • Michigan Medicaid Pending Eligibility
    no
  • Michigan MIChild
    no
  • Minnesota Medicaid
    no
  • Mississippi Children's Health Insurance Program
    no
  • Mississippi Medicaid
    no
  • Mississippi State Employees and Teachers
    no
  • Missouri Medicaid
    no
  • MMSI (Mayo Health)
    no
  • Molina Healthcare of California
    no
  • Molina Healthcare of Florida
    no
  • Molina Healthcare of Indiana
    no
  • Molina Healthcare of Michigan
    no
  • Molina Healthcare of New Mexico
    no
  • Molina Healthcare of Ohio
    no
  • Molina Healthcare of Texas
    no
  • Molina Healthcare of Utah
    no
  • Molina Healthcare of Washington
    no
  • Montana Medicaid
    no
  • Mutual of Omaha
    no
  • Nationwide Health Plans
    no
  • NEHEN - Harvard Pilgrim Health Care
    no
  • NEHEN - Neighborhood Health Plans
    no
  • NEHEN - Tufts Associated Health Plan
    no
  • Neighborhood Health Partnership
    no
  • Nevada Medicaid
    no
  • New Hampshire Medicaid
    no
  • New Jersey Medicaid
    no
  • New Mexico Medicaid
    no
  • New York Medicaid
    no
  • North Carolina Medicaid
    no
  • North Carolina Medicaid (Batch)
    no
  • North Dakota Medicaid
    no
  • NovaSys Health
    no
  • Ohio Medicaid
    no
  • Oklahoma Medicaid
    no
  • Optima/Sentara Health Plan
    no
  • Oregon Medicaid
    no
  • Pacific Source Health Plan
    no
  • PacifiCare of Arizona (HMO)
    no
  • PacifiCare of California (HMO& POS)
    no
  • PacifiCare of Colorado (HMO)
    no
  • PacifiCare of Nevada (HMO)
    no
  • PacifiCare of Oklahoma (HMO&POS)
    no
  • PacifiCare of Oregon (HMO&POS)
    no
  • PacifiCare of Texas (HMO&POS)
    no
  • PacifiCare of Washington (HMO&POS)
    no
  • Partners National Health Plans of NC
    no
  • Partnership Health Plan of California
    no
  • Passport Advantage
    no
  • Passport Health Plan
    no
  • Peach State Health Plan
    no
  • Pennsylvania Medicaid
    no
  • PHCS Savility Payers
    no
  • Phoenix Health Plan
    no
  • Physicians Mutual Insurance Company
    no
  • Pittman and Associates
    no
  • Preferred Health Systems
    no
  • PreferredOne
    no
  • Principal Financial Group (Nippon Life)
    no
  • Priority Health Care Choices
    no
  • Providence Health Plan
    no
  • Puerto Rico Medicaid
    no
  • Recall Systems - Boon-Chapman Benefit Admin
    no
  • Recall Systems - Corporate Benefit Service
    no
  • Recall Systems - Group & Pension Administrators
    no
  • Recall Systems - JP Farley Corporation
    no
  • Recall Systems - Mississippi Admin Services
    no
  • Recall Systems - Professional Benefits Administrators
    no
  • Recall Systems - SRT Administrators
    no
  • Recall Systems - Underwriters Safety&Claims
    no
  • Rocky Mountain Health Plan
    no
  • San Francisco Health Plan
    no
  • San Joaquin Health Plan
    no
  • Santa Clara Valley Health and Hospital
    no
  • Scott&White Health Plan
    no
  • Senior Care Action Network (SCAN) HMO
    no
  • South Carolina Medicaid
    no
  • South Dakota Medicaid
    no
  • Stanislaus County MIA Program
    no
  • Star HRG
    no
  • Student Insurance
    no
  • SummaCare Health Plan
    no
  • Sunshine State Health Plan
    no
  • Tennessee Medicaid
    no
  • Texas CHIP
    no
  • Texas Medicaid
    no
  • Three Rivers Health Plans (Unison Health Plan)
    no
  • Trustmark Insurance
    no
  • UCare of Minnesota
    no
  • United Healthcare Plan of River Valley
    no
  • Unity Health Plans
    no
  • Universal Care of California
    no
  • University Family Care
    no
  • University Physicians Care Advantage (Arizona)
    no
  • University Physicians Healthcare Group (Arizona)
    no
  • UPMC Health Plan (Tristate)
    no
  • VA Fee Basis Program
    no
  • Vermont Medicaid
    no
  • Virginia Medicaid
    no
  • Virginia Premier Health Plan
    no
  • VIVA Health
    no
  • Vytra
    no
  • Washington Medicaid
    no
  • Wells Fargo Third Party Administrators, Inc. (CHIP and PEIA)
    no
  • West Virginia Medicaid
    no
  • Western Health Advantage
    no
  • Wisconsin Medicaid
    no
  • Wisconsin Medicaid Chronic Disease Program
    no
  • Wisconsin Medicaid Well Woman Program
    no
  • World Insurance (ARIC)
    no
  • Writer's Guild
    no
  • Wyoming Medicaid
    no

Before using our services, please get yourself acquainted with the terms and policies.

To begin using our services, please send request.

Cost of connection: $58.95
Cost per request: from $0.17 to $0.22 (depending on insurance company)
Prepayment: $100
Payment must be weekly.
Terms of Use Agreement for Patient Eligibility Service

Please read these terms of use (“Agreement”) carefully, as it constitutes legally binding terms and conditions that apply to your use of the Patient Eligibility Service (“Program”, “System”, “Service”),whether you are accessing the program via personal computer, a wireless or mobile device, or any other technology or device now known or hereafter developed or discovered. The program is made available by WCH Service Bureau, Inc. (“WCH Service Bureau”, “we”, “our” or “us”). Using this service within WCH Service Bureau medical practice can easily check patient insurance eligibility and benefits information for most health plans. By signing the present Agreement you are confirming that you have read, understand and agree to, shall abide by and comply with all of the terms and conditions of this Agreement.

1. General Provisions

1.1. This program meets HIPAA compliance standards and the privacy of transactions is protected with the highest level of internet-based security.
Benefits:
-Quicker than verifying eligibility over the phone
- Easy-to-use
- Low-cost
- Web-based, no software or hardware required

1.2. Access to the system is possible through the WCH Service Bureau portal and after approval registration.

1.3. By accessing and using the Program, you represent, warrant and covenant that: (a) you are 21 years of age or older and reside in the United States of America, its territories and possessions and (b) all registration information you submit is truthful and accurate and you shall maintain and promptly update the accuracy of such information. If you provide information that is untrue, inaccurate, not current or incomplete, or WCH Service Bureau suspects that such information is inaccurate, not current or incomplete, WCH Service Bureau has the right to suspend or terminate your registration (in whole or in part) and refuse any and all current or refuse of the Program, in its sole discretion.

2. Registration and User IDs

2.1. In order to access  certain content, features, functionality of the program, we shall require you to register for the program and have a unique username and password combination (collectively, a “User ID”). If you decide to become a registered user of the program, you are responsible for maintaining the strict confidentiality of your User ID, and you shall be responsible for any access of the program by you or any person or entity using your User ID, whether or not such access or use has been authorized on your behalf, and whether or not such person or entity is your employee or agent. You agree to (a) immediately notify WCH Service Bureau of any unauthorized use of your User ID or account or any other breach of security, and (b) ensure that you log off from your account at the end of each session. It is your sole responsibility to:

  1. control the dissemination and use of your User ID;
  2. control access to your account;
  3. Cancel your account leaving the program.

2.2. We reserve the right to deny access, use and registration privileges to any user of the program if we believe there is a question about the identity of the person trying to access any account or element of the program. WCH Service Bureau shall not be responsible or liable for any loss or damage arising from your failure to comply with Section 2.

2.3. You agree to treat your password and User ID as confidential. You agree that you are solely liable for all actions taken using your password and User ID.

3. Prices and Price Increases

3.1. Costs associated with patient eligibility verification through the use of our program are determined in accordance to the effective price list that is located on our website.

3.2. We may change the cost of the program on our site unilaterally. Notification of changes in the price list will be published on our website. You are obligated to check regularly for updates in prices on our site.

4. Protected Health Information

You may have access to Protect Health Information (PHI) as that is defined by the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and its implementing regulations. You confirm that you are entitled to such PHI as: HIPAA Converted Entity, or the Business Associate of a HIPAA Covered Entity, or as the individual about whom the PHI relates or because such individual has authorized you to have such access. You shall not allow any user within your control to have access to this program or the information unless such user’s access is consistent with your obligations under HIPAA.

5. Privacy Policy

5.1. This Privacy Statement applies only to information collected during your registration and the program.

5.2. WCH Service Bureau is committed to protecting your personal privacy. WCH Service Bureau agrees to not use or disclose Protected Health Information other than as permitted or required by the Agreement or as required by law.

5.3. It is essential that you and your staff understand the rules governing the release of protected health information (PHI) so that you can maintain its security and confidentiality, and reduce the risk of unauthorized disclosure. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) permits the release of PHI without patient authorization for purposes of treatment, payment and health care operations.

5.4. You acknowledge that through our program you may be able to view, send and/or receive confidential medical information, including without limitation patient-related information (“Medical Information”) for your patients. In addition to your obligations in this Agreement, regarding such information, you agree to maintain the security and privacy of patient-related information, and agree that all medical information shall be held in strictest confidence. HIPAA gives you instruction on how to handle patient information. You should not discuss the information with anyone other than the patient and others in your office that is authorized. You must take the necessary precautions to safeguard this information.

5.5. In order to protect the security of data, both yours and that of your patients, we require that you use a 128-bit encryption capable browser.

5.6. This Program may use cookies. They are used to keep track and store information so that the user does not have to supply the information multiple times.

6. WHAT WE WILL NOT BE LIABLE FOR

USER ACKNOWLEDGES THAT IN PROVIDING PROGRAM, WCH SERVICE BUREAU SOLELY ACTS  AS DATA EXCHANGE SERVICE BETWEEN THE APPLICABLE PROVIDERS AND USER, AND THAT WCH SERVICE BUREAU IS NOT RESPONSIBLE FOR PROVISION OF COMPLETE AND ACCURATE ELIGIBILITY DATA AND INFORMATION TO USER FOR USE. WE WILL NOT BE LIABLE TO YOU OR ANY THIRD PARTY FOR ANY DELAY, DIFFICULTY IN USE, INACCURACY OR INCOMPLETENESS OF INFORMATION, UNAUTHORIZED ACCESS, COMPUTER VIRUSES, MALICIOUS CODE, LOSS OF DATA, COMPATIBILITY ISSUES, OR OTHERWISE.

7. Effective Date and Terms of Agreement

7.1. This agreement shall be effective from the date of its signing and shall remain in effect until termination by one of the parties.

7.2. The terms of this agreement may not be waived, altered, modified, amended or supplemented, except by written agreement of both parties.

7.3. In addition, this agreement may be rendered null and void by changes in federal or state law or funding that prevents either or both parties from fulfillment of the conditions of the agreement. In such cases, each party agrees to notify the other as soon as possible.

8. Governing Law; Miscellaneous

8.1. These Terms of Use and your use of the program is governed by, construed and enforced in accordance with the internal substantive laws of the State of New York (without regarding conflict of laws provisions) applicable to contracts made, executed and wholly performed in New York, and, for the purposes of any and all legal or equitable actions, you specifically agree  to the exclusive jurisdiction and venue of the State of New York and the Federal Courts situated in the State of New York and agree you shall not object to such jurisdiction or venue on the grounds of lack of personal jurisdiction, forum non convenience or otherwise.

8.2. WCH Service Bureau manages controls and operates the Program from its office in the United Stated of America. The program is intended for residents in the United States only.

8.3. This Agreement cannot be changed or terminated orally. This Agreement may not be amended or modified except in a writing, signed by each of the parties to this Agreement.

8.4. These Terms of Use are being provided to the User in English only.

STEP 1.

Please enter your user name as well as password and click login.

STEP 2.

This is a request form for real time eligibility. You need to enter required information (patient’s last and first name, patient’s sex, patient’s date of birth, insurance name, insurance id number, SSN number, eligibility date) into the appropriate fields and click submit request. If some information is missed you will not be able to submit the request. After request is submitted, you will then see a table that says the request was successfully submitted.

STEP 3.

You will then need to click on “History.” There is a list of patients for whom requests were submitted. You can sort this list by insurance name, provider’s name, inserted date or by personal patient’s information. To view details, you must click “View Response.”

STEP 4.

Patient’s data. After clicking “View Response,” a new window is displayed. Personal information such as patient’s name, address, insurance and id number, is at the top of the page. Then click “insurance eligibility status and benefits report,” to view the patient’s health plan, effective and termination dates, as well as deductibles and co-pays.


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Shabbat Time
Shabbat is the seventh day of the Jewish week and a day of rest in Judaism.