Healthcare Payment Solutions - Eligibility Information
Helpful Glossary
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- ANSI
- Application Integrators
- Data Mapping
- Data Warehouse
- EDI Translator
- Eligibility
- Eligibility Verification Service
- Electronic Data Interchange (EDI)
- Electronic Remittance Advice
- Healthcare Clearinghouse
- Interface
- Maximum Defined Data Set
- Practice Management System (PMS)
- Protected Health Information
- Termination Date
- Third-Party Payment
- Third-Party Payer
- Waiting Periods
Take advantage of ClearGage's FREE integrated medical claims clearing house (Availity) to access 100s of insurance carriers or utilize any medical clearing house of your choice to get real-time patient insurance information that includes health insurance eligibility, co-payment responsibilities, and their annual year-to-date, out-of-pocket expenses.
The ability to verify insurance eligibility and calculate patient costs is a powerful tool that's central to ClearGage's philosophy of transparency and efficiency.
- For Patients: Offers peace of mind by providing a clear and accurate assessment of what their coverage is and what their responsibilities will be at the point of service.
- For Your Practice: Saves time and money by enabling office staff to quickly determine key eligibility and benefit information (e.g., co-pays, co-insurance, and deductibles, and differences in coverage for services provided in-network versus out-of-network).
How It Works
In addition to our FREE integrated medical clearing house (Availity) the ClearGage Payment Accelerator can receive patient eligibility directly from your practice management system (PMS) or through a direct connection from any third party medical clearing house.