E-Benefits & Eligibility Checking

Knowing the benefits of a patient’s insurance plan or their eligibility for coverage on or before the time of service is a priority in Health Care economy. Missing even one piece of the eligibility puzzle can jeopardize your collection rates and complicate numerous workflow issues within your billing operations.

At SPSI, we understand how difficult and time consuming it can be to try to access multiple benefit plans. SPSI's E-Benefits & Eligibility Checking Module offers providers a comprehensive way to check the eligibility and benefits for all their patient population. E-Benefits & Eligibility Checking will verify across all public and private sector payers that offer online eligibility checking. We also maintain the previous eligibility and benefits for providers that may need proof of eligibility for payment of services.

E-Benefits & Eligibility Checking Features:

• On demand eligibility checking. Check eligibility when the patient presents for services.
• Batch eligibility checking. For recurring patients that may only need checked on a monthly or bi-monthly basis.
• Eligibility checking based on scheduled appointments. Check eligibility for appointments scheduled two weeks out only, etc.
• Access to all benefits in one check.
• Flexibility allows you to decide how the E-Benefits & Eligibility needs to be run based on your specific practice needs.
• 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.
• Flexibility allows you to decide how the E-Benefits & Eligibility needs to be run based on your specific practice needs.