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ELIGIBILITY

Improve Cash Flow with Real-time Insurance and Benefits Verification
As patients take more responsibility for their medical expenses, it has become increasingly important for healthcare organizations to verify patient eligibility and benefits coverage and streamline associated workflow. Billing the wrong insurance carrier or not having correct patient co-insurance and deductible information can result in denials, delayed payment, increased billing and collection costs, and patient bad debt—all of which significantly impact the bottom line.

MPV Eligibility helps provider groups address these challenges. By automating the insurance and benefits verification process, MPV Eligibility enables users to electronically gather patient co-pay, benefit and deductible information at any point in the billing process—from pre-arrival to check-in to charge entry, claims submission and payment posting. Benefits of MPV Eligibility include:

• Electronic verification of coverage throughout the billing process, via batch processing or real-time insurance checks
• Increased time-of-service collections
• Fewer rejections and denials
• Decreased A/R days and improved cash flow
• Cleaner billing system data

MPV Patient Portion Pricer Integrated with MPV Eligibility
This integrated, multi-payer solution combines MPV's powerful claims valuation engine and real-time eligibility and benefits functionality so provider groups can calculate patient financial responsibility quickly and accurately. Together, these tools allow groups to ensure patient estimates are based on the latest and most up-to-date eligibility data, payment rules and contract terms. Seamless integration to the payers and between applications reduces the need for manual validation processes, including phone calls or searches on payer Web sites. As a result, users can increase overall efficiency, reduce claim denials and improve cash flow.

Download MPV Patient Portion Pricer & MPV Eligibility Brochure >>