Eligibility Verification

Most practices learn the hard way that the health insurance membership card is not definitive proof of patient eligibility for healthcare benefits. In fact, the most common cause of rejection at the payer gateway is directly related to eligibility.

Not only is the typical membership card not proof that the patient is actually insured, but it does not contain the critical patient benefit information required to make important co-pay and referral decisions at the point of care.

Eligibility from HealthFusion® is feature-rich – and a simple way for your practice to accomplish electronic eligibility verification at the point of care.

Key Benefits:

In order to reduce rejected claims payers, providers and practice management consultants all agree that eligibility and benefit verification should be performed on every patient prior to every visit. Since health plan membership changes every day, verification must be performed by matching the member with the most current payer list or database. Historically, verification was impractical, time-consuming, and costly, since the process involved manually calling the health plan and usually waiting on hold for 15 to 20 minutes.

Now with HealthFusion, real-time access to the most current payer eligibility databases is just a mouse click away.

MediTouch EHR®

MediTouch EHR® from HealthFusion® is the first all-in-one, Web-based, touch screen Electronic Health Record that is affordable, secure, and backed up by "Outstanding Customer Service".

Practice Management

HealthFusion's Practice Management System with a fully integrated EHR and clearinghouse simplifies patient registration, scheduling, billing, and reporting for Revenue Cycle Management.

Clearinghouse

Manage electronic claims with 1000's of payers, real-time eligibility verification and claim status, and transmit Electronic EOB® / ERAs. HIPAA-compliant with EHNAC accreditation.

Meaningful Use      

Get HITECH Stimulus Ready™. Earn $44-64K in cash Medicare and Medicaid bonuses with EHR/EMR "meaningful use" by using MediTouch®. Track progress with a Meaningful Use Report Card®.