Eligibility Verification

Verify patient insurance coverage and co-pay amounts up front.

Ineligible patient insurance coverage causes more than 75% of all claim rejections and denials by payers.
That’s why you need ZirMed’s Eligibility Verification solution.
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Eligibility Solution

Ideal when you’re facing:

  • Hassles logging in to multiple payer websites for eligibility information
  • Low point-of-service collections and high patient collection costs
  • Problems with denied claims
  • DME “Same-and-Similar” issues re. new equipment (is it covered?)

Discover the power of ZirMed Eligibility Verification:

(Hover over or click on the circles below)

Get customizable, easy-to-read responses and automatic patient information updates.

Enter each patient’s information two ways: directly or by a swipe card.

Check tomorrow’s patients tonight — automatically. Run eligibility inquiries for your next day’s patients overnight based on the scheduling file in your supported practice management system.

Verify patient’s eligibility two ways: Individually or with time-saving batch processing.

Determine patient coverage – including co-pays, deductibles, inpatient days used, and other pertinent benefit data — so you can collect payments or make other payment arrangements before rendering services.

And much more!

Eligibility Solution
  • Increase your cash collection and reimbursements.
  • Reduce the time your staff spends calling, faxing, and searching various payers to verify benefits.
  • Reduce bad debt and slow cash collections from HSA and high-deductible plans.
  • Verify whether the patient is eligible for DME reimbursement by Medicare with the integrated same or similar function.
  • Take credit card, ACH, and cash payments with the click of a button—right from the inquiry—by adding ZirMed’s ZPay solution.

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To make Eligibility Verification even more powerful:

Accurately estimate each patient’s full out-of-pocket payment responsibility—before rendering service.

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Collect your patient’s full estimated payment responsibility or set up a payment plan—quickly and easily.

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Work claims more efficiently than ever before with ZirMed’s new Workcenter.

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