Eligibility Services

We help patients navigate the screening, application, and enrollment processes that will provide them healthcare coverage and improve your revenue cycle.

ClaimAid works closely with patients and hospitals to find out if patients are eligible for certain health benefits.

We provide experts in programs such as:

  • Traditional Medicaid
  • Medicaid Expansion Programs
  • Health Insurance Marketplace (ACA and HealthCare.gov)
  • Presumptive eligibility programs
  • Social Security Disability Insurance (SSDI)
  • Supplemental Security Income (SSI)
  • Children’s Health Insurance Program
  • Compensation for victims of violent crimes
  • Breast and cervical cancer programs
  • FQHC sliding fee scale
  • Financial assistance and charity
  • Waiver programs and services
  • COBRA and other insurance programs

Our eligibility services help your healthcare facility with:

  • Reduced bad debt and increased cash flow for an improved bottom line
  • Timely reimbursements and increased revenue
  • Expertise in national healthcare compliance and policies
  • Reduced workload, allowing you to focus on patient care
  • Experienced representation in your provider prior authorization appeals
  • Sustained results through personal relationships
  • Providing healthcare coverage options and assistance in obtaining required documentation and technical support
  • Assistance in navigation in the screening, application, and enrollment processes
  • Assistance with filing re-applications for patients whose eligibility has lapsed and offering your patients representation with eligibility-adverse actions

ClaimAid is a proven leader in patient advocacy and healthcare coverage enrollment. For over 30 years we have been working with patients and clients to gain reimbursement for medical services with quick, accurate, and compassionate representation throughout the eligibility determination process.

Check out our benefits

One

Increased cash flow

We work to reduce bad debt and provide timely reimbursements to keep your healthcare facility moving forward.

Two

Efficient workflow

From tools and technology to the patient options, our advocates tailor each detail and compassionately connect through on-site collaboration.

Three

Patient satisfaction and Positive community relations

Our team of experts know the critical questions and relevant information to get and keep your patients covered.

Meet your bottom line while keeping each patient top of mind.

Check out our other services for Hospitals and Healthcare facilities

Claims
Resolution

We resolve the claims that deliver positive results to you.

Link to Claims<br>Resolution

Self-Pay
Solutions

Focus on your bottom line. We will craft solutions that are focused on the patient, all while managing the situation.

Link to Self-Pay<br>Solutions