Eligibilty Alert Management Automation

Errors in patient eligibility have a cascading effect across processes in the post-acute care ecosystem. The effective ability to identify patient coverage before patient visits is critical to minimize operational overheads and financial bottlenecks.

Step 1

Monitor alert queue

Step 2

Read alert

Step 3

Adjucate alert

Step 4

Route alerts to business users based on rules

Step 5

Eligibility alert management automation helps automate alerts monitoring and adjudicate them without human intervention easing the eligibility process and eliminates the need for time-consuming manual verification of new referrals.

Element5's eligibility alert management automation solution completely removes the need to sift through different systems of record to ensure care delivery can begin at the earliest and proper reimbursements go through on time. The system automates the task of scanning for patient insurance data, extracting & analyzing it to verify relevant plan information, and updating the same on the EHR.

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Benefits and ROI

  • Accelerate speed and quality of care by reducing the time between referral & first visit
  • Improve staff job satisfaction by removing mundane data entry & manual verification from staff's shoulders and allow better focus on business-critical tasks
  • Ensure accuracy of insurance information when onboarding new patient referrals and recognize revenue faster
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See how this workflow can deliver tangible ROI to your organization.
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Watch this workflow in action

See how trained robots perform tasks, faster and more efficiently, between systems just like a human user would. Everything you see in the video is performed with no manual intervention.

Automated eligibility checks for Post Acute Care

Eligibility/Insurance verification is a multi-step task at any post-acute organization requiring multiple logins into disparate systems of record to verify information provided by a single patient.

When performed manually, it can potentially take several hours over just a week and seriously hinder the time to care, with studies even suggesting it can affect referral rates due to provider preference for organizations with a seamless intake process.

Element5's eligibility alert management automation solution completely removes the need to sift through different systems of record to ensure care delivery can begin at the earliest and proper reimbursements go through on time. The system automates the task of scanning for patient insurance data, extracting & analyzing it to verify relevant plan information, and updating the same on the EHR.

Fill this form for a personalized demo with our team.
See how this workflow can deliver tangible ROI to your organization.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
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