Emdeon Assistant
Emdeon Assistant is a utility that allows a provider to automate various functions within the patient registration process. Real-time EDI transactions including patient eligibility verification, claims status, address verification, and others can be interfaced with the existing patient registration system so that inquiry and response data are electronically transferred between the registration system and the Emdeon contracted carriers.How It Works
Each PC user attached to the network will have the ability to either manually or electronically initiate an eligibility inquiry during the patient registration process. The automatic “trigger” can be based on the rules you establish (i.e. patient name, social security number, financial class, insurance carrier code, etc.).
The provider employee also has the option to verify eligibility at any time. In either case, it is not necessary to “re-key” the needed search information in order to initiate the eligibility request. Information in real-time simplifies patient registration through automation of patient eligibility and benefits verification tasks. Emdeon Assistant interfaces with most existing registration systems to channel efficient search requests directly from the registration systems to Emdeon contracted carriers, with responses generally returned in seconds.
Automated Technology
Find the Right Information the First Time You Request It
Emdeon Assistant uses “Smart Search™” technology to systematically exhaust all available search criteria, often eliminating the need for repeated searches. For instance, if a patient is not found using a social security number, the system will automatically continue the search using any additional data provided in an attempt to find a match.
Emdeon Assistant Can Save You Time & Money:
Automatically initiated searches reveal the true power of Emdeon Assistant. For example, insurance eligibility can be automatically identified in real-time during patient registration using demographic information just entered or previously stored within the system. Returned eligibility and benefit information can be posted directly into the appropriate fields within the insurance segment of the patient’s account. If the provider’s registration system recipient number differs from the one returned from the carrier, it can be flagged and automatically updated in the insurance screens. Additional response data can be posted into the Notes or Comments.
Benefits of Emdeon Assistant:
- Verify eligibility in a matter of seconds
- Eliminate“double keying” of inquiry data
- Reduce incorrect billing
- Identify patients that need financial counseling
- Correctly identify primary payer and coordination of benefits
- Promote paperless environment
- Interface with most Hospital Information System or Practice Management Systems
- Access new payers as they become available
- Remain Flexible – you choose whether or not to post the data to a patient’s account – can be automatic or manual
- Search efficiently with auto-triggered searches, based on criteria you define
- Maintain transaction archive of all real-time EDI transactions
- Access to the most payer connections in the industry
