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

Scrubs patient demographics using credit bureau data. Corrects name, address, DOB, and SSN 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 plans to determine whether coverage 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