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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

Eliminate unnecessary double redirects to enjoy a seamless enrollment process on a unified platform, allowing you to complete Special Enrollment Period (SEP) verifications, navigate complex eligibility scenarios, and manage life changes without the need to visit ‘healthcare.gov’. Our EDE platform utilizes efficient application-programming interfaces (APIs) to facilitate rapid data transfer with the Federally-Facilitated Exchange, ensuring quicker submissions, eligibility assessments, and renewals. These APIs swiftly compute the relevant cost-sharing reductions and premium tax credits for users. Additionally, the Medigap Filters feature aligns with regulatory requirements, enabling you to quote, compare, and add optional riders for Medigap plans directly within BrokerEngage, eliminating the hassle of searching through various carrier portals. Furthermore, you can easily discover plans for your clients that encompass the healthcare providers and prescription medications they require, making the entire process more convenient and tailored to their needs. This comprehensive approach simplifies the enrollment journey while ensuring compliance and efficiency.

Description

Utilize our exclusive Claims Analysis tool to efficiently save both time and financial resources by identifying bundled codes alongside the Medicare allowable amounts. Eliminate the frustration of navigating through numerous online resources, as we consolidate everything you need in a single platform, including fee schedules, drug lookup, CMS transmittals, and additional resources. Each claim undergoes a meticulous review with over 30 specific code edits to ascertain whether CMS considers the code bundled to the SNF. Our comprehensive database encompasses more than 16,000 Medicare billing codes along with data for 112 geographical locations. We provide detailed reports reflecting the Medicare allowable amounts tailored to your specific zip code. Our service includes fees from all relevant CMS fee schedules, covering areas such as physician services, ambulance, ambulatory surgery centers, DMEPOS, drugs, laboratories, PEN, and hospital outpatient settings. We also provide carrier-priced codes for those carriers that report their prices to ensure transparency. Any CMS coding inaccuracies are promptly corrected on our platform as they are discovered, and you can conveniently save all your reports for future reference. This way, you can streamline your claims process and enhance your operational efficiency.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

$340 per year
Free Trial Yes 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) Yes 
In Person No 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person Yes 

Vendor Details

Company Name

Benefitalign

Founded

2003

Country

United States

Website

www.benefitalign.com

Vendor Details

Company Name

Consolidated Billing Services

Founded

1998

Country

United States

Website

www.billing-services.com

Product Features

Insurance Agency Management

Claims Management No 
Commission Management No 
Contact Management No 
Document Management No 
Insurance Rating No 
Life & Health No 
Policy Management No 
Property & Casualty No 
Quote Management No 

Insurance Policy

Cancellation Tracking No 
Claims Tracking No 
Policy Generation No 
Policy Issuance Yes 
Policy Processing Yes 
Quotes / Estimates Yes 
Rating Engine Yes 
Reinstatement Tracking No 
Reinsurance Administration No 
Renewal Management Yes 
Underwriting Management No 

Product Features

Nursing Home

Billing & Invoicing No 
Charting No 
Electronic Signature No 
Incident Management No 
Meal / Nutrition Management No 
Medication Tracking No 
Patient Intake No 
Referral Management No 
Scheduling No 

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