REAL-TIME
ELIGIBILITY
VERIFICATION

Streamline your billing processes and improve reimbursement rates with our real-time eligibility services

Clarity

Stay a few steps ahead with our comprehensive support. We are with you every step of the way, managing denials, rejections, and appeals. Let us handle these tasks, freeing up your valuable time

Comfort

Our providers enjoy 24/7 online transparency in their processes. Detailed reports and proof of pending or approved cases are are readily available upon request at any time

Security

Rest assured, we are the shield for your medical practice, ensuring strict confidentiality with third parties. With our commitment to HIPAA compliance, your data is securely stored in a protected environment

Benefits of the application:

Over 300 payers accessible through a single sign-on

Complete online (Available 24 X 7 X 365)

Eliminate time-consuming phone calls

Verify eligibility on every bill to prevent rejected claims

Get the most correct and up-to-date insurance eligibility information

Predetermine the Deductible and Physical Therapy CAP limit (especially for Medicare beneficiaries)

Print eligibility info directly from the site

Improve your cash flow by correctly collecting co-payments and service fees upfront

Price Plan

Before you start using our services, please make sure to read and understand our terms and policies.
To get started with our services, please proceed:

Cost per request - $0.17

Available insurances

If you don't see the required insurance below please Contact Us

AARP

AETNA

Aftra Health Fund

AmericChoice of New Jersey (Commercial)

AMERIGROUP

BCBS of Connecticut (Wellpoint)

BCBS of New Jersey (Horizon)

BCBS of New York (Empire)

USAA Life Insurance Company

Blue Cross of California (Wellpoint)

Blue Shield of California

CIGNA

ConnectiCare

Fidelis Care New York

Government Employees Hospital Association (GEHA)

Great-West Healthcare

Healthfirst New York

HIP NY

Humana

Medicare Part A and Part B

MVP Health Care (New York)

National Association of Letter Carriers (NALC)

Oxford Health Plans

Principal Financial Group (Principal Life)

TRICARE-All Regions

Unicare (Anthem Wellpoint-All States)

United Healthcare

Insurances | Available by request

AETNA

Aetna Long Term Care

AFLAC - Dental

Alabama Medicaid

AMC - Alaska Electrical
Health & Welfare Fund

AMC - American General Life and Accident

AMC - Health Future

AMC - Poly America

AMC - Touchstone PSO

American Family Insurance
Group Medicare Supplemental

AmeriHealth Administrators

AmeriHealth Mercy Health Plan

Ameritas Group - Ameritas Life Insurance Co.

Ameritas Group First Ameritas of New York

Ameritas Group First Reliance Standard Life

Ameritas Group - Reliance Standard Life

Arizona Medicaid (AHCCCS)

Arizona Physicians IPA (APIPA)

Arkansas Medicaid

Assurant Health - John Alden Insurance Company (JALIC)

Assurant Health - Time nsurance Company (FIC)

Assurant Health - Union Security Insurance Company (FBIC)

AultCare

AvMed Health Plans

Arizona Physicians IPA (APIPA)

American Community Mutual

Available insurances

STEP 1.

Please enter your username and password, and then click on the login button.

STEP 2.

This is a request form for real-time eligibility. Please enter the required information, including the patient's last and first name, patient's sex, patient's date of birth, insurance name, insurance ID number, SSN number, and eligibility date, into the corresponding fields. Once all the required information is entered, click on the "Submit Request" button. If any information is missing, you will not be able to submit the request. After submitting the request, you will see a confirmation message indicating that the request has been successfully submitted.

STEP 3.

Once you have submitted the request, you can access the request history by clicking on the "History" tab. In the request history, you will find a list of patients for whom requests were submitted. You can sort this list by insurance name, provider's name, inserted date, or personal patient information. To view the details of a specific request, click on the "View Response" button. It will provide you with the response and additional information related to that particular request.

STEP 4.

After clicking "View Response," a new window will appear, displaying the patient's personal information at the top of the page, including their name, address, insurance information, and ID number. Below that, you will find the option to click on "Insurance Eligibility Status and Benefits Report." It will allow you to view detailed information about the patient's health plan, including the effective and termination dates, as well as details about deductibles and co-pays.