Medicare Eligibility - X12N 270/271 HIPPA Transaction (HIPPA/V5010X279A1)


The Eligibility Benefit Inquiry application allows real-time access to patient insurance information, including coverage dates, benefit ceilings, co-pays, deductible and more. One of the most common reasons for claim rejection or denial is ineligibility. Rather than putting reimbursement at risk after a patient encounter, you can use our real-time eligibility solutions to determine patient insurance eligibility prior to rendering service. With this web application, you’ll be able to:

  • Receive real-time access to critical patient and insurance information, including coverage dates, benefit ceilings, co-pays and more
  • Reduce costly rejections and denials by checking eligibility before patients are seen
  • Increase profitability – reduce costly write-offs
  • Improve staff productivity – eliminate manual eligibility verification
  • Increase cash collections – obtain up-to-date co-pay, co-insurance and deductible information


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