Healthcare Insurance Eligibility Checking & Insurance Verification

Historically, hospitals have manually contacted third-party payers to obtain insurance eligibility and insurance coverage information. Currently, many payers offer Internet access on a single patient inquiry basis or use service bureau firms that provide these transactions in a batch or real-time mode. However, these insurance eligibility and verification transactions have a cost associated with them, which are billed to the hospital. While very efficient for many hospitals, hospitals with high visit volumes that make traditional per-transaction costs a significant budgetary burden, or hospitals looking to reduces costs seek ways to quickly and accurately check insurance eligibility themselves.  Increasingly, hospitals are turning to automation software, Boston WorkStation.

Boston WorkStation is a workflow automation and healthcare integration technology that allows healthcare organizations to automate manual tasks or whole processes, or automate interaction with Web sites. In fact any task for which you can explain the steps to a worker can be automated by Boston WorkStation.

Read a case study on UPMC.  One of the leading technology hospitals in the US, University of Pittsburgh Medical Center is using Boston WorkStation to go directly to payers’ web sites to electronically obtain real time insurance eligibility, and then automatically post that information to the patient accounting portion of their McKesson hospital information system.

Contact us and learn how your organization can integrate applications with Boston Workstation to increase productivity and enable cost savings.