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What is Eligible?

Eligible offers a suite of powerful APIs that facilitate the seamless integration of insurance billing features into various applications. Our certifications assure both patients and healthcare providers that Eligible maintains the highest levels of privacy and security while managing millions of healthcare cases on a monthly basis. We understand the critical role that a robust information security framework plays in achieving the goals of both Eligible and our clients. We are proud to announce the successful completion of our Type II SOC2 audit, which reinforces our unwavering commitment to protecting sensitive health information. This accomplishment not only highlights our dedication to security but also fosters trust among our customers and partners regarding our responsibilities in safeguarding confidential data. Through our APIs, you can significantly improve the patient insurance billing experience for your users, enabling effortless estimates, insurance verification, and claims submission. Discover the simplicity and effectiveness that our technology brings to healthcare billing processes, ensuring a smoother experience for both providers and patients alike. In a rapidly evolving healthcare landscape, our solutions empower you to stay ahead and deliver exceptional service.

What is AltuMED PracticeFit?

By performing thorough evaluations of patients' financial eligibility, reviewing their insurance plans, and detecting any discrepancies, the eligibility checker guarantees a meticulous assessment process. In the event of inaccuracies in the data provided, our sophisticated scrubber employs cutting-edge AI and machine learning technologies to fix problems, such as coding errors and incomplete or erroneous financial information. At present, the software contains an impressive collection of 3.5 million pre-loaded edits to improve its performance. To streamline operations, automatic updates from the clearing house offer real-time insights into the status of outstanding claims. This comprehensive system manages the entire billing cycle, from confirming patient financial information to resolving denied or misplaced claims, and features a strong follow-up system for appeals. Additionally, our intuitive platform proactively notifies users of potential claim denials, allowing for prompt corrective actions, while also efficiently tracking and managing appeals related to any claims that have been lost or rejected. The seamless integration of these capabilities enhances the system's overall efficiency in navigating the complexities of medical billing, leading to improved revenue cycles for healthcare providers. This holistic approach not only maximizes operational effectiveness but also ensures that patients receive timely and accurate billing information.

Media

Media

Integrations Supported

OptiMantra

Integrations Supported

API Availability

Has API

API Availability

Pricing Information

3% Fee
25¢ per claim

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub

Training Options

Documentation Hub
Online Training

Company Facts

Organization Name

Eligible

Date Founded

2011

Company Location

United States

Company Website

eligible.com

Company Facts

Organization Name

AltuMED

Company Location

United States

Company Website

altumed.com/altumed-practicefit/

Categories and Features

Insurance Billing

Not specified

Medical Billing

Not specified

Categories and Features

Clinic Management

Not specified

Medical Billing

Claims Scrubbing
Code & Charge Entry
Customizable Dashboard
Invoice History
Practice Management
Remittance Advice

Medical Coding

Not specified

Medical Practice Management

Claims Management
Insurance Eligibility Verification

Medical Scheduling

Not specified

Revenue Cycle Management

Claims Management

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