Eligibility Check Integration
Verify patient insurance coverage in real time — before the appointment. We build eligibility check integrations connecting your practice management systems, EHRs, and scheduling platforms with major payers and clearinghouses via X12 270/271 and FHIR Coverage APIs.
What We Deliver
Real-Time Eligibility Verification
Instant X12 270/271 eligibility transactions with major commercial and government payers — integrated directly into your workflow.
Clearinghouse Integration
Connect to Availity, Change Healthcare, Waystar, Emdeon, and other clearinghouses for multi-payer eligibility checks through a single interface.
FHIR Coverage Resource
Implement FHIR R4 Coverage and CoverageEligibilityRequest APIs for modern, standards-based insurance verification in EHR workflows.
Batch Eligibility Processing
Automated batch eligibility verification for appointment lists — verifying hundreds of patients nightly to identify coverage issues before visits.
Benefits Parsing & Display
Parse complex eligibility response data — copays, deductibles, coinsurance, out-of-pocket maximums — and display it clearly in your application.
EHR & PM System Integration
Embed eligibility checking directly into Epic, Athena, eClinicalWorks, or your custom practice management system workflows.
Ready to Automate Eligibility Verification?
Our eligibility integration experts are ready to help. Free consultation, no obligation.