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Approved Admissions
Automated Insurance Eligibility Verification and Change Tracking for Healthcare

What is Approved Admissions?

Approved Admissions leverages advanced AI technology to automate the verification and tracking of Medicare, Medicaid, and commercial insurance coverage for patients. By providing real-time eligibility checks and proactive alerts on coverage changes across more than 1,300 payers, the platform helps healthcare providers, billing companies, and DME organizations prevent costly claim denials and revenue loss.

Daily data synchronization with EHR and billing systems ensures up-to-date patient eligibility insights while seamless integrations and a mobile app support efficient use from anywhere. Approved Admissions is HIPAA-compliant and offers flexible integration options, including an insurance verification API to enable interoperability with external platforms.

Features

  • Real-Time Eligibility Verification: Instantly verifies patient insurance coverage across 1300+ payers.
  • Automated Change Tracking: AI-driven detection and proactive alerts for changes in Medicare, Medicaid, and commercial insurance coverage.
  • Seamless Integrations: Daily synchronization with EHR and billing platforms for up-to-date patient data.
  • Mobile Accessibility: Verify insurance eligibility from any device, including a user-friendly mobile app.
  • Batch and Real-Time Submissions: Supports both real-time and batch eligibility verification workflows.
  • Coverage Discovery: Identifies undisclosed or updated insurance policies for comprehensive coverage awareness.
  • REST-Based API: Enables programmatic access to eligibility, MBI lookup, and coverage discovery functionalities.
  • HIPAA Compliance: Fully compliant with HIPAA requirements, ensuring secure handling of patient data.
  • Unlimited Users: No restrictions on number of users per facility for scalable deployment.
  • Pre-Configured Integrations: Easy setup with popular billing and EHR platforms, minimizing IT effort.

Use Cases

  • Automating insurance eligibility verification for patients upon admission to skilled nursing facilities.
  • Proactively tracking and getting alerted about changes in Medicare or Medicaid coverage to prevent claim denials.
  • Seamlessly synchronizing and integrating patient coverage data with billing and EHR systems.
  • Using mobile devices to check insurance eligibility during patient intake or equipment delivery.
  • Enabling billing companies to optimize verification workflows and reduce claim denials for multiple facilities.
  • Allowing DME providers to confirm patient benefit coverage before equipment delivery.
  • Integrating insurance verification functionalities into health-tech vendors' software using the platform's API.

FAQs

  • Which payers are supported by Approved Admissions?
    Approved Admissions supports over 1,300 payers nationwide including Medicare, Medicaid, and commercial insurers. The full list is available on their support portal.
  • Is there a per-facility limit on the number of users?
    No, there is no limit. Approved Admissions allows unlimited users per facility.
  • Is Approved Admissions HIPAA-compliant?
    Yes, Approved Admissions is fully compliant with HIPAA requirements to ensure secure handling of patient data.
  • Do you have a separate subscription for the Mobile App?
    No, there is a single subscription for Approved Admissions, covering access through both the desktop portal and mobile app.
  • Can Approved Admissions integrate with existing billing and EHR platforms?
    Yes, the platform offers pre-configured integrations for popular billing and EHR systems, enabling seamless data connectivity.

Helpful for people in the following professions

Approved Admissions Uptime Monitor

Average Uptime

100%

Average Response Time

826.5 ms

Last 30 Days

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