Electronic Data Interchange (EDI) Solutions
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Electronic Claims Service
Eligibility Checking
Eligibility Checking
Knowing the eligibility of your client at or before the time of service has become a priority in the Health Care industry.
Missing even one piece of the eligibility puzzle can put a provider at risk of a lower reimbursement rate.
At
SPSI we understand how difficult and time consuming it can be to try to access multiple benefit plans.
SPSI's Eligibility Checking Module offers providers a comprehensive way to check the eligibility and benefits for all their
client population across all public and private sector payors that offer online eligibility checking.
We also maintain the previous eligibility and benefits for clients that may need proof of eligibility for payment of services.
SPSI Eligibility Checking features:
- On demand eligibility checking. Check eligibility when the client presents for services
- Batch eligibility checking. For recurring clients that may only need checked on a monthly or bi-monthly basis
- Eligibility checking based on scheduled appointments. Check eligibility for that week’s appointments only, etc.
- Access to all benefits in one check
- History trail maintained on your web site of all eligibility checks and the detail
Benefits
- Ability to have accurate payer information prior to billing services
- Increased efficiency in your office
- All benefits in one place maintained monthly in your history
- Knowledge of services requiring pre authorization prior to services
- You determine how the eligibility needs to be ran based on your specific practice needs
