Electronic Eligibility
Call us   800-868-1923

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.

General features highlights

  1. 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
  2. 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
  3. Very rich graphic user interface
  4. By applying the science of Human-computer interaction (HCI), we came up with a system that we believe the most user friendly around
  5. E-fax included (No extra charge)
  6. E-lab included (No extra charge)
  7. Appiointment confirmation included (No extra charge)
  8. Unlimited document upload included (No extra charge)
View Demo

EHR features highlights

Clinical Encounter

  1. Progress note
      Hybrid(Type, click, or dictate)
      Encoded and searchable
      E&M
  2. Generate templates depending on diagnosis
  3. Integrated with voice recognition and handwriting recognition
  4. Free hand annotation

Medication features

  1. Medication list
      Long term
      Per episode
      Active/Inactive
  2. E-prescription
  3. E-refill request
  4. Maintains formulary information
  5. Medication Reporting
  6. Allergy list
  7. Automatic allergy warning
  8. Drug-Drug interaction
  9. Drug-Allergy interaction

Laboratory/X-ray/Pathology Features

  1. Maintains test history by patient
  2. Maintains test history by provider
  3. Electronic orders
  4. Electronic results
  5. Full integration with LAB/X-ray facilities
  6. Flags abnormal results
  7. Permits tracking of abnormal lab follow-up
  8. Permits creation of panels

Immunization/Injection

  1. Immunization/Injection list per episode, or per patient
  2. Interface to state registry

Diagnosis Features

  1. Problem list
          Long term
          Per episode
  2. Report by
          Patient
          Provider
          Diagnosis

Referral Features

  1. Maintains list of referral sites/Providers by specialty
  2. Generate referral letters
  3. E-fax referral letter from the system electronically
  4. E-fax continuity of care record.
View Demo

PM Features highlights

Schedule

  1. Colored based appointments
  2. Drag and drop
  3. Search appointments using AI
  4. Automated appointment confirmation
  5.  Different views
  6. Independent books
  7. Appointment notes
  8. Many more...

Patient record

  1. Scan patient cards
  2. Scan insurance cards
  3. Intuitive, easy to use interface
  4. Different notes, and activities
  5. Unlimited document upload
  6. Keep different cases

Documents

  1. Unlimited document upload
  2. E-fax with toll free included
  3. Split documents
  4. Annotation capability

Billing

  1. Charge capture from the schedule, or the EHR
  2. Search diagnosis code by description, or hierarchy
  3. Visits charges memory
  4. Claim scrubbing using AI
  5. Electronic remittance advice
  6. Electronic posting of EOB
  7. Creation of electronic secondary claims
  8. Capability of attaching post-op notes to electronic claims
  9. Collection, and follow up module

Address and phone number

Our Address:
1722 s. Carson ave.
Ste 3201
Tulsa, OK, USA 74119
Hours of Operation:
Mon. to Fri. 8am to 5pm
Phone 800-868-1923
Fax 888-246-8889

Demo Information

Please call 800-868-1923 and set one-on-one demo today. Onsite demo can be arranged as well.