Eligibility Verification

Patient eligibility verification is one of the greatest challenges facing providers today.

• The eligibility of at least half of all patients seen is unknown until receipt of an EOB weeks after the date of service
• One in four of all claims initially submitted is rejected, and, on average, 1 in 17 is ultimately denied due to ineligibility
• Less than 50% of patient-pay receivables that result from ineligibility are collected.
• Eligibility verifications in most offices are limited to only those that the staff has time to complete via 1-800 phone calls.

Encite Transaction Services solves this problem by delivering critical eligibility data to your desktop in a matter of seconds using a standard web browser. This allows you to collect the appropriate funds from both patient and payor or make alternative financial arrangements before service is rendered.

Encite Eligibility Features

• Real-time, all-payor access via a single secure website
• User-friendly eligibility responses in plain English
• Direct eligibility verification per payor websites
• Single patient or batch eligibility requests; stand alone or POMIS integration

Encite Eligibility helps eliminate

• "On hold" waits for verification
• The need to access multiple payor websites
• Eligibility-related financial losses

The Encite Transaction Services System includes: