Eligibility Verification Report

    Are your 'insurance benefits' statements looking jumbled and inexplicable ?

    Patient Insurance Eligibility Verification is the top of hospitals bolt-on RCM solution shopping list." says CapSite Sr. VP and GM, Gino Johnson.

    Most EHR solutions are really challenging the decipherability of the insurance benefit statements due to the toting up of some unnecessary data, in an attempt to build a bizarre outlook. But, our NexGen's software system is designed to present you detailed information on your patients' insurance benefits in an easy-to-read format. The details include patient name, payer name, policy number, patient balance, eligibility status, provider status, effective and term dates, pre-authorization, pre-existing and any comments (eg: preauthorization tenure)

    See BillingParadise in Action

    Schedule an online demo with one of our knowledgable associates to see how our integration with your EHR can help you automate the patient eiligibility verification process.

    How could I trim down my patient's 'no-pays' at the time of service?

    Our NextGen software determines the co-pay amounts, deductibles, and benefit coverage prior to the time of service. Thus, you could reduce "no-pays" with our automated time-cutback features.

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Track RCM data stored in your NextGen EHR using a mobile app

  • Consolidate, categorize and manage billing data
  • Get vital revenue cycle reports straight into your smartphone
  • View RCM reports under a single glass pane instead of navigating various tabs
  • Be assured of 100% data security and compliance
  • The RCM data stored in your EHR is securely extracted
  • Set alerts and communicate with billing teams easily

Is your EHR system HETS 270/271 Compatible?

The data input fields of our EHR system is a clean companion of HETS (HIPAA Eligibility Transaction System) 270/271 and other eligibility transaction systems. This feature would mainly benefit the large volume providers who frequently perform patient eligibility checking for Medicare. Besides, it permits the release of secure patient eligibility data to Medicare Providers, or their authorized billing agents to organize an accurate claim, determining in beneficiary liability or eligibility for specific services.

NextGen EHR platform creates a hindrance-free workflow through our automated formulary checks and insurance eligibility screens, so as to reduce your work load and to get precise information on your patient's coverage. Our system is advanced and amicable to you, so that you could view the comprehensive patient details at a single point.

Our system allows the release of patient's appointment, payment and eligibility data to authorized practices, payers or billing agencies through a highly secure conduit. To accomplish 100% claim acceptance rate, our system assists your front desk to perform electronic eligibility screening prior to the claim creation process.

 Want To know How Dr. Patrick of California Transformed his NextGen EHR in to a profit making Tool ?

Your Benefits:

  • Electronic eligibility verification
  • Well secured conduit
  • Real time scrutiny
  • Reduce 'no-pays' on your patient ingress.

Specialized Support

An answer for your every need

Billing & Collections

BillingParadise has helped several NextGen users brush aside their billing hurdles and run a more profitable practice, inline, with regulatory guidelines.

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Medical coding is becoming increasingly complex. An average coder, who assigns codes without in-depth analysis can do your practice more harm than good. NextGen users can now code right!

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EMR Support

We take care of your front end and back end revenue cycle processes. Right from appointment scheduling and eligibility verification to claim analysis and denial resolution, our NextGen revenue cycle management services, have you covered. We help you leverage and extract the most out of the staff, technology and workflow of your medical practice.

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Old AR

AR calling is more than just making calls to insurers and leaving home at six. You need AR callers who are persistent, informed and quick.We work with NextGen users every single day and offer flexible, practice specific support.

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RCM Services

Optimize the many moving parts of your revenue cycle with BillingParadise’s NextGen revenue cycle management services. Our certified revenue cycle specialists will improve the compliance and performance of your NextGen RCM processes.

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Specialty Focused RCM Services

We have specialized teams of medical billers and coders who hold speciality specific certifications to handle your billing and coding tasks

Get paid Three times faster with our 24/7 medical billing services.

Work with medical billers who understand your EHR's billing process backwards and forwards

Avail Free RCM Audit Worth $2,000! Check out 19 different KPI reports that stops your cash flow.