Product/Service

Eligibility File

Source: Digital Healthcare

A Plan Sponsor or TPA can use our electronic eligibility file to accomplish that task, and get rid of the paper enrollment card, and set up the files necessary to coordinate benefits, all at once!
HIPAA requires we all move to electronic eligibility maintenance.

Goodbye to the paper enrollment card!

Fully automated COB requires that we have clean, complete identifiers on everybody on your plans.

A Plan Sponsor or TPA can use our electronic eligibility file to accomplish that task, and get rid of the paper enrollment card, and set up the files necessary to coordinate benefits, all at once!

Most important, our Eligibility Webfile is an included part of our Online Service - you don't pay extra to do it right.

There are other means of getting eligibility data to Digital Healthcare - a copy of Access, Excel, Peoplesoft, or a dozen other eligibility database methods are OK, provided the data is flowing properly and on time.

For the Plan Sponsor: For the TPA/Carrier: For Digital Healthcare:
Eliminates paper enrollment cards Eliminates paper enrollment cards Makes Eligibility data uniform
Reduces time spent on updating census Eliminates enrollment tapes Collects Plan Structure to assure accurate COB determinations
Updates all vendors automatically Eliminates liability for eligibility posting errors  
Automates payables Reduces data feed to Digital Healthcare  
Enables automated COB Automates client billing  

Other good eligibility products in the market, and they may be perfectly fine to send data to us and your TPAs.

Other good eligibility products in the market, and they may be perfectly fine to send data to us and your TPAs.

    One excellent web eligibility product that is interfaced to Digital Healthcare and also makes claims data available to your employees is HealthX.com.
We've included the pages of our eligibility webfile for your examination. These service all the normal needs of the eligibility process, put you into HIPAA compliance, feed data electronically to any party you designate, and supply Digital Healthcare with eligibility and plan structure data that will enable us to automate COB for you. The pages of this webfile can be customized to any special needs you may have.

Digital Healthcare, PO Box 470732, Cleveland, OH 44147. Tel: 714-384-0179; Fax: 216-520-1261.