Eligibility Manager
Use DataTug™ with Eligibility Manager to automatically verify eligibility online. An incredible time-saver!
Eligibility Management Made Easier
Eligibility Manager® is a technologically advanced software program that makes it easy for IPAs and MSOs to efficiently manage changes to healthcare member eligibility. Users can effortlessly reconcile their own data against data from all payers. The program takes as input a full or partial list of members from a health plan, and creates a list of membership changes.
What makes Eligibility Manager superior to other eligibility management programs are two main strengths. First, its unique design allows for implementation of custom processing for any health plan data format, health plan data issues, and client business rules. And second, powerful yet easy-to-use auditing tools allow eligibility analysts to quickly find and correct data issues.
These special features enable Eligibility Manager to:
- Provide a high level of control over your eligibility data
- Inload and audit eligibility quickly and accurately
- Identify members that have dropped off the health plan's list
- Incorporate years of experience in interpreting health plan data files
- Manage any number of entities' contracted eligibility with any number of plans
In addition, Eligibility Manager is fully customizable to generate eligibility data in the proper format to meet your needs. Combined with DataTug™, users can save hours with automatic online eligibility verification.
