Eligibility Verification with InSight Eligibility
Verify Eligibility Instantly at Patient Access
Often a top source of denials, billing the incorrect medical insurance payor usually stems the problem of eligibility verification taking too much time at patient access. Eligibility is not confirmed and payment is lost or delayed. Billing errors, cash flow problems, delayed payments and avoidable write-offs can all originate from eligibility verification procedures that are too cumbersome and time-consuming to work effectively.
Comprehensive Insurance Coverage Information
InSight Eligibility is the easiest and fastest web-based software for eligibility verification available today. Access it from any computer with an internet connection, using one login and one password for all payors. Key in your patient’s information and get a response in seconds instead of minutes. With an eligible response, InSight Eligibility shows you everything the payor has on the patient’s insurance coverage—copays, limitations, out of pocket amounts, primary and co-insurance amounts— organized on one screen. Print out the information with a click of a button.
InSight Eligibility can prevent the rejections related to inactive covered benefit plans or coordination of benefits at patient access, saving time not only at patient access but in the billing office as well. As web-based software, Craneware InSight automatically maintains and upgrades for you.
Patient Access Benefits Across Health System:
- Verify eligibility automatically at patient registration or at any point in the revenue cycle
- Increase clean claim percentage to payors
- Increase cash flow
- Reduce cost of eligibility determination
- Reduce bad debt
- Enhance patient services
- Reduce payment delay
- Reduce billing rework
- Improved bottom line
- Always collect the correct copay and deductible up front
- Forgotten insurance cards no longer a problem
- Less medical claim denials, shorter A/R days or less bad debt
- Less administrative time spent checking insurance eligibility
- Less patient access frustration with large payors and vendors
- Fewer denials to manage
Two-in-One Medical Necessity Verification
InSight Eligibility is unique among other web-based software solutions because in addition to being used as a stand-alone solution, InSight Eligibility can be integrated with our medical necessity software. Integration enables your patient access, registration or scheduling staff to kill two birds with one stone—one-stop shopping to check both medical necessity and eligibility.
Enter your patient information once, look up CPTs and ICD-9s, and one-click will tell you whether your scheduled procedures pass medical necessity for the payor and whether or not your patient is eligible.
