Online eligibility checks can nearly eliminate claim rejections by verifying members’ numbers before claim submission. Did you know that incorrect provider and patient id numbers are most often the cause of rejected claims?

Checking patient eligibility and verifying coverage is a routine part of running your practice. American Medical Software provides easy access to payer provided eligibility and benefit information through our trading partner Gateway EDI. Their robust eligibility solution can be accessed seamlessly from our system directly through the Gateway EDI web portal.

This eliminates the time consuming hassle of verifying by phone or visiting multiple websites with multiple logins and passwords, ultimately leading to faster payments. Save time and money with this eligibility solution.

Realize increased efficiency with the ability to batch eligibility inquiries and receive verification through extensive payer connections and direct integration with our scheduling system. This will allow you to investigate questionable coverage and request information from payers ahead of time so appropriate payment can be collected at the time of service. You can also run individual inquiries for walk-in patients, last minute appointments and everything in between.

Real-time eligibility can be verified on a patient-by-patient basis whenever you need it. Information is made available immediately, enabling you to identify coverage and collect patient payments at the time of their visit.