Eligible is an integrations partner which offers connectivity and processing to every health insurance company in the country. Eligible's simple API network enables disparate systems to instantly send and receive transactions required for the processing of healthcare payments and reimbursements. Information retrieved includes, active or in active policy status, deductibles, stop loss, coordination of benefits, procedures, diagnosis, plan type (HMO, PPO, POS, etc), effective dates, termination dates, claim denial reports and more. Information processed includes claims, payments, remittance reports, and preauthorization requests.
Company Growth (employees)