Confirm patient coverage faster with medical insurance verification software (eMedBV)
Conduct your patient eligibility verification more quickly with seeQer. Send cases to careviso for a real-time benefit check to verify patient insurance and determine whether the required product, test, or procedure is in network. All of this medical eligibility verification information is visible in an easy-to-use dashboard.
Keep patients informed about treatment costs and comfortable with their quality of care
Verifying insurance eligibility is faster and easier than ever before with our health insurance verification portal. When you run a benefit investigation and complete patient eligibility verification before starting patient treatment, you reduce the risk of surprise bills or denied claims—and avoid dissatisfied patients or delayed revenue.
Surprise Bills
Under the No Surprises Act, patients no longer should receive medical bills without knowing what the amount will be.
Pre-Treatment Benefits Investigation
Find out what the patient’s benefits will and won’t cover so they know exactly what will be included on their bill.
Insufficient Coverage
Patients need to know whether their insurance or benefits will cover treatment before it begins.
Coverage Confirmation
Send cases to careviso to confirm the patient has the necessary insurance and benefits to receive treatment.
Out-of-Network Treatment
Avoid frustration when a treatment, provider, or service is chosen, to then learn the provider is outside of the health plan network.
Network Visibility
See whether treatment is in network and provide patients with in-network options.
Fragmented Eligibility Data
Staff bounce between portals, make lengthy phone calls, and send back-and-forth faxes to confirm plan status, benefits, and plan maximums.
Real-Time Insurance Eligibility Verification
Pull coverage, effective dates, deductibles, co-insurance, and OOP in one place with automated eligibility and benefits verification, as well as coordination of benefits for primary and secondary insurances.
Missed Payer Rules
Unseen policy nuances lead to reschedules, denials, and patient delays.
Policy-Aware Eligibility Checks
Unseen policy nuances lead to reschedules, denials, and patient delays.
Limited Visibility Across Locations
Multi-site teams lack a shared view of eligibility status and requirements.
Unified Dashboard & Alerts
Track real-time insurance eligibility verification status, exceptions, and next steps across all locations.
Rework Frustration
Re-verifying benefits when plans change drains staff time and morale.
Automated Refresh
Re-run patient eligibility verification and capture changes in real time during a busy reverification season.
Manual Workflow
Log in to multiple payer portals to complete admin tasks
Call payer support lines to clarify benefits, deductible, copays, and plan maximum
Track data in spreadsheets and re-key data regularly as it changes
Manually ensure documentation consistency and claims readiness
seeQer workflow
Conduct real-time insurance eligibility verification in one platform
Get normalized payer responses with benefit-level detail
PA and step therapy requirements are automatically flagged
Easily maintain structured documentation with timestamps for claims
seeQer eligibility and benefits verification software is designed with healthcare transparency in mind
seeQer is compliant with all relevant industry requirements such as GFEs and HIPAA, maintaining strict requirements to protect patients’ health information. careviso is in current preparations to support clients with the upcoming requirements of the CMS Interoperability and Prior Authorization final rule.
How accurate is seeQer’s real-time eligibility data?
We integrate multiple proprietary databases and link to external sources, combining with our careviso algorithm that has shown accuracy rates of 92% and higher when compared with the claim.
Can seeQer verify patient eligibility for Medicare/Medicaid?
Yes. We support commercial, Medicare, Medicaid, and many managed care plans. For Medicare insurance verification, we identify eligibility details and applicable plan rules.
What data is returned?
We return plan status, benefits by service category, accumulators (deductible, out-of-pocket), and prior authorization requirements where available. We return over 50 distinct fields.
Does eligibility verification trigger an authorization?
Eligibility determines coverage. When seeQer detects that a prior authorization is likely required, you can proceed to Prior Authorization Processing in-platform. Additional tools are not required.
How does seeQer integrate with my EHR or ordering system?
We offer API-based integration and flat-file options, both of which are used by many different clients.
Explore other seeQer services
That’s not all seeQer can do for you and your patients. Find out how additional features can provide more transparency, empower patients, and transform healthcare.
Patient Cost Responsibility
Receive coverage, cost, and prior authorization requirements based on insights from multiple databases.
Prior Authorization Eligibility
Automatically send your prior authorization to the operations team for processing when it’s required.
Prior Authorization Processing
Eliminate manual effort and cut down on admin time when your prior authorization is processed in real time.
Discover how seeQer informs patients and transforms practice.
Schedule a seeQer demonstration of benefits verifications, cost assessments, and other essential tasks in the platform. Learn how seeQer can help your organization reduce administrative burden, transform cumbersome processes, and provide transparency that empowers patients in a complex and ever-changing industry.