Electronic Eligibility

Speed up the process, reduce the hassles

How much time does your staff spend trying to verify patient eligibility? Calling the long list of insurance companies is one thing, but when you factor in the additional time spent on hold with them to get the information— then it's a whole new ball game.

With AllegianceMD’s electronic eligibility feature you can truly optimize your staff's workday. It starts before your patients even arrive. No longer will you need to call each individual insurance company to see whether or not the patients insurance is valid. Just 72 hours before the scheduled appointment, insurance coverage is automatically verified—without an employee ever picking up the phone. Our expert system electronically contacts each insurance company, who then replies back in electronic format. If no verification is given, regardless of the reason, the patient's name is flagged, alerting your team that a manual verification is required.

The AllegianceMD approach uses a seamless design and a special back-end process—guaranteed to save your team time and better ensure your payments so you can shift your staff's focus to other priority tasks. Our expert system, driven by Artificial Intelligence, synchronizes your practice management and helps it run like a fine-tuned machine.

Features

General features highlights
One system that contains EHR, billing software, and practice management software. Not just a superficial integration with HL7 between two foreign systems. This insures that you will be bug free, not wasting times logging between different systems, keeping your data integrity intact True web-based, no client to download, remote access, or complicated VPN. This totally eliminate the headache of maintaing servers, complicated VPN network, all you need is a browser, simple as that Very rich graphic user interface By applying the science of Human-computer interaction (HCI), we came up with a system that we believe the most user friendly around E-fax included (No extra charge) E-lab included (No extra charge) Appiointment confirmation included (No extra charge) Unlimited document upload included (No extra charge)
EHR features highlights	PM Features highlights
Clinical Encounter Progress note       Hybrid(Type, click, or dictate)       Encoded and searchable       E&M Generate templates depending on diagnosis Integrated with voice recognition and handwriting recognition Free hand annotation	Schedule Colored based appointments Drag and drop Search appointments using AI Automated appointment confirmation  Different views Independent books Appointment notes Many more... Patient record Scan patient cards Scan insurance cards Intuitive, easy to use interface Different notes, and activities Unlimited document upload Keep different cases Documents Unlimited document upload E-fax with toll free included Split documents Annotation capability Billing Charge capture from the schedule, or the EHR Search diagnosis code by description, or hierarchy Visits charges memory Claim scrubbing using AI Electronic remittance advice Electronic posting of EOB Creation of electronic secondary claims Capability of attaching post-op notes to electronic claims Collection, and follow up module
Medication features Medication list       Long term       Per episode       Active/Inactive E-prescription E-refill request Maintains formulary information Medication Reporting Allergy list Automatic allergy warning Drug-Drug interaction Drug-Allergy interaction
Laboratory/X-ray/Pathology Features Maintains test history by patient Maintains test history by provider Electronic orders Electronic results Full integration with LAB/X-ray facilities Flags abnormal results Permits tracking of abnormal lab follow-up Permits creation of panels
Immunization/Injection Immunization/Injection list per episode, or per patient Interface to state registry
Diagnosis Features Problem list       Long term       Per episode Report by       Patient       Provider       Diagnosis
Referral Features Maintains list of referral sites/Providers by specialty Generate referral letters E-fax referral letter from the system electronically E-fax continuity of care record.