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PAYMENT ACCURACY

Coverage on Demand

Part of our suite of Coordination of Benefits solutions.

Patient coverage information available when you want it.

Designed for use by providers, our Coverage on Demand solution will verify and communicate other primary coverage for Medicaid members at the point of admissions, point of authorization or point of billing; ensuring providers bill correctly the first time.

Coverage on Demand Features:

  • Flexible Integration. API, user interface and batch solutions are available at the point of scheduling, service, prior authorization and billing.
  • Available Anytime. Accurate coverage data is available anytime in the healthcare cycle and can be used for current services as well as look-back and future services.
  • Near Real-time Actionable Results. API / UI interface delivers results in 25 seconds or less. Batch process results are delivered in 24 hours or less.
  • Ease of Use. Automated process and simple user interface creates a powerful user experience.
  • Secure. Operates in a HITRUST certified environment that meets or exceeds state and federal healthcare data security standards.

 

 

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