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Q-Team SolutionsPaid
Eligibility
by Chorus Software SolutionsMicrosoft 365Paid
Automates payer eligibility checks and records coverage data within Microsoft Dynamics for healthcare practices.
PRICINGPaid
DEPLOYMENTCloud
CATEGORYIntegration
UPDATED ON MARKETPLACE
What it does
The add-in automates eligibility checks and exchanges data with payer partners through Change Healthcare's clearinghouse. Staff can view coverage information during practice workflows, including covered services and cost-sharing details. It records eligibility information linked to a patient's care history and can trigger workflow actions for statuses such as inactive coverage or exceptions. The vendor states that it supports FHIR and X12 compatibility and can connect with existing CRM and practice management systems.
Key capabilities
from the Microsoft Marketplace listingAutomated eligibility checks
Runs eligibility checks for payers during practice workflows.
Payer data exchange
Exchanges eligibility information with payer partners through Change Healthcare's clearinghouse.
Coverage information
Displays covered services and cost-sharing details.
Eligibility history
Stores structured eligibility records across a patient's care history.
Workflow configuration
Allows eligibility workflows to be customized and status-based actions to be set.
FHIR and X12 support
Provides compatibility with FHIR and X12.
Use cases
- A practice can check coverage before care is delivered and record the result when services are provided.
- A workflow can initiate follow-up actions when coverage is inactive or an exception is identified.
- Eligibility information can be exchanged while the practice continues using its existing CRM or practice management system.
Who it's for
Healthcare practices and their staff.
In the catalog
264 plugins in Dynamics 365 · Integration
Price distribution: 12 free, 9 freemium, 128 paid, 115 price not published
Pricing & deployment
Platform
Microsoft 365
Product
Dynamics 365
Deployment
Cloud
Pricing
Paid
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What the vendor says
«Eligibility, by Chorus Software Solutions, is a unique software built on Microsoft Dynamics that allows healthcare practices to automate eligibility checks and accurately determine eligibility in real-time for any payer, at any point in their workflow. Instead of relying on a manual processes to conduct eligibility …»
Official marketplace listing
Marketplace
Publisher
Chorus Software Solutions
Updated on marketplace
Facts verified