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Eligibility Checking

Compare 23 eligibility checking tools to find the right one for your needs

🔧 Tools

Compare and find the best eligibility checking for your needs

Stedi

The developer platform for B2B integrations.

An API-first platform for building and managing EDI and B2B integrations.

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maxRTE

Real-Time Health Insurance Eligibility.

A revenue cycle software solution focused on insurance discovery and real-time eligibility.

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Clearwave

The patient engagement platform that powers high-growth practices.

A patient engagement platform specializing in patient check-in and eligibility verification.

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Claim.MD

Trusted Medical Claims Clearinghouse.

An affordable and user-friendly medical claims clearinghouse and RCM solution.

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pVerify

Realtime Insurance Eligibility Verification.

A specialized solution for real-time and batch insurance eligibility verification.

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Waystar

Simplifying healthcare payments for providers, patients, and payers.

A cloud-based platform that simplifies and unifies the healthcare revenue cycle.

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Phreesia

Create a better, more engaging healthcare experience.

A patient intake management platform that automates data collection and payments.

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The SSI Group

Your complete revenue cycle solution.

Provides revenue cycle management solutions with a focus on claims management and analytics.

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Experian Health

Powering smarter healthcare.

Provides data-driven solutions for patient identity, eligibility, and revenue cycle management.

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Quadax

The new school of RCM.

Provides revenue cycle management technology and services for healthcare providers.

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Availity

Connecting providers, health plans, and technology partners to simplify healthcare.

A large health information network that facilitates electronic data interchange between providers and payers.

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Inovalon

Powering data-driven healthcare.

A provider of cloud-based platforms empowering data-driven healthcare.

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AdvancedMD

The all-in-one platform for independent practices.

An integrated suite of software for independent medical practices, including EHR, practice management, and billing.

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Tebra

The all-in-one solution for practice success.

Formed by the merger of Kareo and PatientPop, Tebra offers an all-in-one platform for independent practices.

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TriZetto Provider Solutions (a Cognizant company)

Powering the future of healthcare.

Offers comprehensive revenue cycle management solutions, including clearinghouse and eligibility services.

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Change Healthcare

Inspiring a better healthcare system.

A major healthcare technology company providing data and analytics-driven solutions.

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CureMD

The All-in-One EMR, Practice Management & Medical Billing Services.

An integrated platform offering EHR, practice management, and billing services.

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eClinicalWorks

Improving healthcare together.

A large provider of ambulatory healthcare IT solutions, including EMR/EHR and Practice Management.

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athenahealth

Unbreak healthcare.

Provides network-enabled services for healthcare and point-of-care mobile apps.

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NextGen Healthcare

Better healthcare outcomes for all.

Provides integrated EHR, practice management, and RCM solutions for ambulatory practices.

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Office Ally

Your trusted partner in healthcare solutions.

Provides a suite of free and low-cost web-based solutions for healthcare providers.

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Veritable

Instant Eligibility Verification & Claim Status.

A focused healthcare IT solution for real-time insurance eligibility and claim status checks.

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Sohar Health

The API for patient access.

An API-based platform for automating insurance verification and cost estimation.

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