Solutions Group
Technology

Balance Billing Eligibility Tool

Helps ensure critical information is clean and complete before claims are submitted, reducing errors, delays, and manual effort.

A three-step process.

01

Demographic Scrubbing

Enriches patient demographic data using credit bureau data to correct name, address, date of birth, and social, so statements reach the right place.

02

Insurance Verification

Automates insurance verification to eliminate time-consuming checks. Confirms valid coverage before claims go out.

03

ERISA Determination

Identifies ERISA plan to determine whether the plan is federally or state regulated, so you bill correctly every time.

Seamless Integration & Customization·Streamlined workflows via SFTP or API, with minimal interruption to your processes.

No contract required · No set-up costs · No minimum volumes