AccuReg Eligibility Integration

TESTIMONIALS

Teresa Santee
Admitting Manager, Newport Hospital

"Staff Morale impact was unbelievably huge! I cannot even tell you how this has impacted the overall mood and environment of this department. It is amazing to watch, and training is awesome because each individual has their own reports for training purposes."

GET FULL USE OF YOUR ELIGIBILITY DATA TO IMPROVE REGISTRATION ACCURACY

Go beyond basic insurance format editing with AccuReg Eligibility Integration. Alongside AccuReg, our Eligibility Integration offers a higher level of error identification by comparing electronic insurance eligibility data (270/271) with registration-keyed data to identify and report value variances to the registrar for correction. Not limited to format editing, Eligibility Integration compares actual values that can ensure the information provided in an eligibility transaction is used every time. These edits may include errors in policy number, group number, SSN, DOB, and name spelling, as well as Medicare HMO and hospice claims incorrectly loaded as standard Medicare. Eligibility Integration provides increased capabilities to improve registration accuracy leading to fewer denials, less rework, and higher clean claim rates.

Features:

Value variance checking between 271 Eligibility Response Data and registrar-keyed information in patient accounts
Reports discrepancies alongside other AccuReg edits for correction before bill drop
Utilizes AccuReg's comprehensive reporting tools
No additional interface needed

Benefits:

Ensures full use of 271 Eligibility response
Expands capability of AccuReg edits beyond format variance for greater registration accuracy
Increases utilization and ROI for both AccuReg and Eligibility vendor