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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 Availity?

Successful teamwork in patient care relies heavily on ongoing connectivity and access to current information. It is becoming ever more important to facilitate the flow of this information with insurance companies. Availity streamlines the collaboration with payers, assisting providers from the initial step of confirming a patient's eligibility all the way to resolving reimbursements. Healthcare professionals seek quick and easy access to details regarding health plans. With Availity Essentials, a free service supported by health plans, providers can take advantage of real-time data exchanges with many of the payers they regularly interact with. Moreover, Availity offers a premium service called Availity Essentials Pro that is designed to enhance revenue cycle performance, reduce claim denials, and secure patient payments more efficiently. By utilizing Availity as your reliable source for payer information, you can concentrate your efforts on providing high-quality patient care. Their electronic data interchange (EDI) clearinghouse and API solutions allow providers to seamlessly incorporate HIPAA transactions and other vital functions into their practice management systems, leading to improved operational efficiency. This holistic method not only supports healthcare providers in their operational tasks but also reinforces their ultimate goal of prioritizing patient well-being and satisfaction.

Media

Media

Integrations Supported

OptiMantra

Integrations Supported

AI Answering
AZZLY
AbbaDox
Accurint Crime Analysis
Cohere Unify
EZBIS
InvisaClaim
Juris
Lexis Advance Quicklaw
Lexis Omni
Lexis PSL
Motileo
Motivity
Nexis Data+
Nexis Dossier
VerifyRX
Vetriq
Visualfiles
eCitation

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

Web-Based Support

Training Options

Documentation Hub

Training Options

Webinars
Online Training

Company Facts

Organization Name

Eligible

Date Founded

2011

Company Location

United States

Company Website

eligible.com

Company Facts

Organization Name

Availity

Company Location

United States

Company Website

www.availity.com

Categories and Features

Insurance Billing

Not specified

Medical Billing

Not specified

Categories and Features

API Marketplaces

Not specified

Healthcare

Not specified

Hospital Management

Accounting Integration
Appointment Scheduling
Billing & Invoicing
Claims Management
In-Patient Management
Medical Billing
Out-Patient Management

Medical Billing

Not specified

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