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.
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)|
|Payment must be weekly.|
1.1. This program meets HIPAA compliance standards and the privacy of transactions is protected with the highest level of internet-based security.
-Quicker than verifying eligibility over the phone
- 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.
2.1. 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:
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.
3.1. 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.
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.
5.1. 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.
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.
7.1. 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.
8.2. 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.
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.
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.