One of the main causes for claims rejection or denial is patient insurance ineligibility. E*HealthLine’s integrated system determines the patient’s insurance eligibility prior to rendering service. The System accesses critical patient and insurance information including coverage dates, deductible amounts, co-pays and more in real-time or batch modes.
E*HealthLine’s eligibility system integrates with many leading practice management systems, providing automated eligibility verification and crucial patient eligibility information which populates key fields within the Practice Management system.
E*HealthLine Eligibility System Provides:
The secondary carrier supports automatic crossover of claims, simplifying the processing:
E*HealthLine’s suite of innovative applications offerpatient billing and payment solutions that assist in streamlining the billing process and overall management of the patient’s payment. These solutions minimize processing costs and reduce time in dispensing statements to the patients, while accelerating the collection of payments.
E*HealthLine’s Pharmacy Services simplifies the prescription process and increases efficiency, accuracy and profitability for customers ranging from chain and community pharmacies to payers and prescription benefit managers.
E*HealthLine simplifies prescription benefit programs and provides a higher level of efficiency, accuracy and profitability. The company’s extensive integrated network provides unsurpassed pharmacy claims adjudication, data warehousing and ancillary administrative services, enabling improved claims processing efficiency and comprehensive financial transparency for the overall management of prescription drug expenditures.
Productivity solutions analyze the claims data and permanently eliminate the cause of rejections and denials, improving overall financial performance.
E*HealthLine’s analytic tools enable spot rejection and denial trends, creating process changes, while tracking meaningful results.
E*HealthLine’s Alerts proactively identifies and highlights the cause of claims problems:
E*HealthLine’s Patient Payment Portal Provides Cost-effective Solutions