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Eligibility
Are the following questions and situations similar to what come up within your department?
- Was the format changed again? Can we adapt?
- Why do I need to search for member eligibility in 5 different Health Plan web sites?
- It's the 12th. Are the e-lists out yet?
- It's the doctor on line 4. He says his e-list doesn't match his CAP check? What now?
- Why does it take so long to check the member's eligibility?
- How many people do you have verifying eligibility?
We offer you this information at your fingertips to answer these questions and more!
Eligibility Support
Solutions:
Eligibility departments can now:
- Handle any electronic format for eligibility from source organization.
- Export eligibility information into legacy enterprise system
- Do advanced searches on eligibility (including retro-active) for physician offices and administrators, across health plans.
- Profile eligibility access for primary care physicians and specialists.
- Secure online access to physician offices to print their own e-lists.
- Export e-lists in numerous formats, including Excel and text.
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