Batch Eligibility

Many customers want a simple and reliable way to check consumer eligibility in batches. ETS Software can process 270/271 batch files and efficiently tell clients when a consumer's eligibility status changes. 

Our eligibility software is designed to inform clients when a consumer becomes ineligible or changes coverage. ETS customers can easily upload a file of their consumers and download the results to verify their eligibility and compare coverage types between days. Additionally, advanced eligibility checking is available as a standalone product for agencies to check consumers' eligibility for other programs. Our software also offers the feature of exporting reports that can be analyzed in Excel, enabling users to quickly report on non-eligible consumers and other exception reports.

Benefits

• Greatly reduces the amount of time needed to process rejections and rebills
• Easily identify changes in coverage type
• Results flag for authorizations, if needed

For service bureau customers, if someone falls out of eligibility, we let providers know and make the necessary changes, which helps reduce the number of rejections and rebills needed.