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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

Eligible offers robust APIs that seamlessly integrate insurance billing functionalities into your applications. Our certifications provide reassurance to patients and healthcare providers that Eligible adheres to the highest standards of privacy and security while managing millions of healthcare cases monthly. We recognize the importance of a well-established information security framework in fulfilling both Eligible's and our clients' objectives. We are pleased to share that we have successfully completed our Type II SOC2 audit, which reinforces our commitment to safeguarding protected health information. This achievement not only underscores our dedication to security but also builds trust with our customers and partners regarding our obligations to protect sensitive data. With our APIs, you can effortlessly enhance the patient insurance billing experience for your users, allowing you to run estimates, verify insurance, and submit claims for patients seamlessly. Experience the ease and efficiency that our technology brings to healthcare billing processes.

Description

Functional Finance serves as the engine for insurance billing and payments, managing the flow of money once a policy decision is finalized. Positioned between the policy management system and the general ledger, it processes policy events such as bindings, endorsements, cancellations, and reinstatements, executing the corresponding financial commitments with precision. The system adeptly oversees billing, invoicing, payment collection, cash application, treasury routing, and the payables for distribution partners, accommodating various models like agency bill, direct bill, installments, and premium financing. Payments are systematically applied at both the policy and line-item levels, ensuring that commissions and remittances remain aligned while maintaining an auditable trail for every transaction. Consequently, this results in a financial operations system that is aware of policy details, replacing the need for manual reconciliation with streamlined and scalable processes that enhance operational efficiency. Ultimately, the integration of these functionalities fosters a more reliable and transparent financial environment within the insurance sector.

API Access

Has API Yes 

API Access

Has API No 

Screenshots View All

Screenshots View All

No images available

Integrations

OptiMantra Yes 

Integrations

OptiMantra No 

Pricing Details

3% Fee
25¢ per claim
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
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 No 
Live Rep (24/7) No 
Online Support No 

Types of Training

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

Types of Training

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

Vendor Details

Company Name

Eligible

Founded

2011

Country

United States

Website

eligible.com

Vendor Details

Company Name

Functional Finance

Country

United States

Website

functionalfi.com

Product Features

Medical Billing

Claims Processing No 
Claims Scrubbing No 
Code & Charge Entry No 
Compliance Tracking No 
Customizable Dashboard No 
Dunning Management No 
Invoice History No 
Patient Eligibility Checks No 
Practice Management No 
Quotes/Estimates No 
Remittance Advice No 

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