Eligibility Verification

Eligibility and Enrollment Services

Provide patient advocacy services to obtain eligibility and enrollment, which will help healthcare providers’ cash flow.

With the introduction of new healthcare services and programs, it’s incredibly important to assist your constituents to understand and determine their eligibility for appropriate programs. At W3medcare, our solutions can help you streamline enrollment, provide seamless access to benefits, and proactively reach out to your constituents.

We’ve been assisting government agencies in implementing and managing solutions that fulfil program goals for more than four decades, all while maintaining a high level of service and cost-effectiveness. Regarding the definition and treatment of important data items gathered on claims, we follow HIPAA, NCQA, AMA coding, UB-04 editor, and NCCI standards.

    What Do We Do?

    Ensures that electronic member roster files are accepted and that 834 audit files are compared to internal records.
    On a daily, weekly, and/or monthly basis, reconciles enrollment transactions between state interfaces and our internal systems.
    Ensures that individuals receive the benefits owed to them by conducting systematic reconciliations for all membership changes.
    Incorporates information from enrollment files across all client functions while maintaining entire data integrity.

    Why Choose Us?

    We are a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers.

    Customer Experience

    We always believe in putting our customers at the forefront to ensure complete customer satisfaction at every stage.

    Competitive Pricing

    We offer top Medical Billing software at competitive prices that perfectly meet your unique healthcare requirements.

    Skilled Team

    We have a highly skilled team of software experts and professionals with excellent technical knowledge and experience in using the latest healthcare software standards in the medical industry.

    Performance Tracking

    Our dedicated RCM solutions provide unparalleled monitoring and tracking of your healthcare statistics, including patients’ and doctors’ records and insights. 

    Get the Best Assistance From Our Experts Today

    Start today with W3medcare. Contact us today!