Eligibility

Of course, verifying patients’ insurance eligibility is an everyday part of your practice. It’s often a manual process that can involve multiple phone calls and visits to various websites.

Gateway EDI provides you with a single source for eligibility verification, cutting the time it takes to prepare patient files for a visit. Our system connects you directly with our vast network of payers, so you can always trust you are getting the most up-to-date information on your patients’ coverage, including co-pays, deductibles and more.

We offer three levels of Eligibility Verification:

• Basic. Included with both our Connect and Swift packages, Basic Eligibility connects your staff with most payers, enabling them to verify individual patient eligibility. A fee may apply for verification with certain payers.
• Unlimited. Upgrade to our Unlimited eligibility plan, and you will never pay an additional fee for eligibility checks for any payer or any number of inquiries.
• Integrated. Our top-of-the-line eligibility program interfaces directly with your Practice Management System, so you’ll never mistype patient or group ID numbers again — reducing the number of rejected claims. Upcoming patient appointments are proactively verified for insurance eligibility. You can also verify groups or batches of patients, saving you even more time.