Real-Time Eligibility
What is Real-Time Eligibility?
Real-time eligibility requests are designed so that providers can determine if an insurer has a particular patient policy on file and the detailed benefit information about that policy. These transactions provide an accurate method for the provider to preemptively determine if the patient has active insurance or not.
Iridium Suite’s built-in Real-Time Eligibility connects directly to insurers to verify patient insurance coverage. The payer’s response presents in seconds, providing coverage verification and the most accurate up-to-date billing information.
Iridium Suite users can create a patient record by auto-generating patient demographics and policy data directly from the insurers’ Real-Time Eligibility response, removing the need for staff to key-in this data.
Iridium Suite Features
Medical billing is complex.
Radiation oncology billing is extremely complex.
Radiation oncologists are some of the highest paid specialists.
It is precisely for this reason the regulators have deliberately made and continue to make changes to the billing workflow to trip up the billers, to slow down the revenue cycle, to penalize the highest earners.
Iridium Suite, a Practice Management software application, is engineered with a keen understanding of the coding and billing process in Radiation Oncology.
Targeting: Free-standing cancer centers, independent physicians tied to Hospital/enterprise settings requiring professional coding and billing capabilities.
Iridium Suite - purpose-built to solve the challenges and complexities of Radiation Oncology coding and billing.
Revenue Cycle Management: Accomplished.