Eligibility Verification, Referrals and Authorization

Real-time eligibility verification, referrals and pre-authorization ensure approval up front, resulting in less bad debt, fewer write-offs and rejected claims, and increased revenue.

"One of the immediate benefits of the workflow change was a decline in the percentage of eligibility rejections by payers: from July 2003 to June 2004, this percentage has been reduced by more than 30 percent, from 2.3 percent to 1.6 percent (figure 2). The decrease has netted an estimated $300,000 for the organization."
- Karen LaClear, Director, Information Systems, Washington University