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Description
Eliminate unnecessary double redirects to enjoy a seamless enrollment process on a unified platform, allowing you to complete Special Enrollment Period (SEP) verifications, navigate complex eligibility scenarios, and manage life changes without the need to visit ‘healthcare.gov’. Our EDE platform utilizes efficient application-programming interfaces (APIs) to facilitate rapid data transfer with the Federally-Facilitated Exchange, ensuring quicker submissions, eligibility assessments, and renewals. These APIs swiftly compute the relevant cost-sharing reductions and premium tax credits for users. Additionally, the Medigap Filters feature aligns with regulatory requirements, enabling you to quote, compare, and add optional riders for Medigap plans directly within BrokerEngage, eliminating the hassle of searching through various carrier portals. Furthermore, you can easily discover plans for your clients that encompass the healthcare providers and prescription medications they require, making the entire process more convenient and tailored to their needs. This comprehensive approach simplifies the enrollment journey while ensuring compliance and efficiency.
Description
Utilize our exclusive Claims Analysis tool to efficiently save both time and financial resources by identifying bundled codes alongside the Medicare allowable amounts. Eliminate the frustration of navigating through numerous online resources, as we consolidate everything you need in a single platform, including fee schedules, drug lookup, CMS transmittals, and additional resources. Each claim undergoes a meticulous review with over 30 specific code edits to ascertain whether CMS considers the code bundled to the SNF. Our comprehensive database encompasses more than 16,000 Medicare billing codes along with data for 112 geographical locations. We provide detailed reports reflecting the Medicare allowable amounts tailored to your specific zip code. Our service includes fees from all relevant CMS fee schedules, covering areas such as physician services, ambulance, ambulatory surgery centers, DMEPOS, drugs, laboratories, PEN, and hospital outpatient settings. We also provide carrier-priced codes for those carriers that report their prices to ensure transparency. Any CMS coding inaccuracies are promptly corrected on our platform as they are discovered, and you can conveniently save all your reports for future reference. This way, you can streamline your claims process and enhance your operational efficiency.
API Access
Has API
API Access
Has API
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
$340 per year
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
Benefitalign
Founded
2003
Country
United States
Website
www.benefitalign.com
Vendor Details
Company Name
Consolidated Billing Services
Founded
1998
Country
United States
Website
www.billing-services.com
Product Features
Insurance Agency
Claims Management
Commission Management
Contact Management
Document Management
Insurance Rating
Life & Health
Policy Management
Property & Casualty
Quote Management
Insurance Policy
Cancellation Tracking
Claims Tracking
Policy Generation
Policy Issuance
Policy Processing
Quotes / Estimates
Rating Engine
Reinstatement Tracking
Reinsurance Administration
Renewal Management
Underwriting Management
Product Features
Nursing Home
Billing & Invoicing
Charting
Electronic Signature
Incident Management
Meal / Nutrition Management
Medication Tracking
Patient Intake
Referral Management
Scheduling