Verifying Eligibility and Coverage
Capturing revenue in the payment lifecycle begins with insurance coverage and eligibility. When the patient walks in for care, you need immediate information on their coverage, insurance type, network, co-insurance, deductible remaining, out-of-pocket maximums, and more. Without it, you risk delaying patient care and worse, increasing your chance of denials down the line.
Insurance Verification & Eligibility Module
Automate 100% of Your Insurance Verification and Eligibility Requests
The insurance verification and eligibility module is part of our Prior Authorization Software. With seamless HL7 integration to your EHR and a vast clearing house network, our software provides real-time insurance eligibility and benefits verification. If the information is not available, the Infinx team is ready for immediate follow-up.
Real-time results increase payment velocity and move you from coverage unknowns to insurance verification in seconds. You have actionable information and the details necessary to arrange payment schedules with patients. A knowledgeable patient is a happier patient, and a reimbursed practice is a more profitable one.
Insurance Verification & Eligbility Features:
You Need Now
Automate your insurance and eligibility approvals with a click of a button. Get the data you need immediately to make good decisions about patient payment and optimize your scheduling.
Web Portal or
We give you options to access information in a web portal view, or via seamless HL7 integration with your existing EHR/EMR system.
Extensive Payer and
Clearing House Integrations
Extensive payer and clearing house for a robust coverage for your insurance eligibility needs.
How We Do It
Pull Patient InformationThe scheduler makes an appointment for a patient. The software pulls this information in via an HL7 message from the client’s system.
Verify InsuranceThe software automatically interfaces with the payor system to verify insurance. The Infinx team is ready to follow up with the payor if needed.
Return InformationThe software returns the information to the client’s system to verify insurance before the patient arrives.
Pull Patient Information
The scheduler makes an appointment for a patient. The software pulls this information in via an HL7 message from the client’s system.
The software automatically interfaces with the payor system to verify insurance. The Infinx team is ready to follow up with the payor if needed.
The software returns the information to the client’s system to verify insurance before the patient arrives.