Solution Sheets

Eligibility Verification - Solution Sheet - PointClickCare

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Eligibility Verification gives senior care providers the power to accelerate claims processing, optimize revenue cycle management, and overcome common insurance eligibility challenges. By enabling instant access to resident insurance data from within the PointClickCare electronic health record (EHR) platform, providers can make more timely, informed decisions about prospective and current residents. Real-time insurance eligibility verification from within the PointClickCare EHR platform Minimize time required to check insurance eligibility Ensure timely notification of insurance coverage changes PointClickCare Eligibility Verification allows senior care providers to instantly verify insurance status before admission, and regularly throughout a resident's stay, minimizing the risk of non- payment. Automate the transfer of census data Reduce claim rejections, delayed reimbursement, extended Account Receivable (A/R) days, and credit risk What is Eligibility Verification? Eligibility Verification provides capabilities that enable providers to instantly retrieve important resident insurance data including eligibility, benefits, and co-pays from within the PointClickCare platform. By effectively managing insurance eligibility prior to admission and throughout the resident's stay, providers can reduce coverage denial rates and delayed reimbursements. Eligibility Verification automates the transfer of census data and reduces the often tedious and long process of checking resident eligibility.

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