Receive Eligibility Responses in real time
The HIPAA Eligibility Checker comes with a CORE Phase I and II compliant real-time client. With this client you can connect to any CORE compliant server and receive your eligibility responses in real time, that is in less than 20 seconds.
Now you can establish whether your patients have coverage and receive detailed information about co-payments, deductibles and covered benefits at the time of service. No more do you have to send eligibility requests to the carrier a day before service and hope that you get a response by the next morning. Most payers have now established a process to provide eligibility information in real time as the Affordable Care Act mandates since 1/1/2013. Often clearing houses provide those services but the number of payers who host a CORE compliant server in house is increasing.
No more doubts whether you get paid
When you establish the benefits that a patient's insurance covers right at time of service, you will cut down on unpaid invoices and tiring struggles with a payer's customer service representatives. The HIPAA Eligibility Checker has an easy to use interface where you enter a few of the patients details and send the request away to the insurance. The user interface lists all your pending requests and you will see when the status chages to indicate when the response comes in.
SOAP and MIME, the HIPAA Eligibility Responder covers both statndards
The Coalition for Affordable Quality Healthcare, CAQH, decided to include two of the most used methods for real-time interactive transactions part of the standard. On one side there is MIME, a protocol that evolved from the email procedures. A 270 eligibility request is than attached to the body.
The other standard is SOAP which incorporates newer technology and is used widely now to create communications between disparate computer systems. SOAP stands for Service Oriented Architecture Protocol. The idea is that server provides certain self-decribed services that can be utilized by any computer as long as the message adheres to the strict standards layed out in the so called wsdl, Web Services Description Language.