Proactively Detect Changes in Medicare, Medicaid and HMO Insurance Coverage

Approved Admissions is a secure platform that automates tracking of coverage changes for Medicare, Medicaid, and commercial payers bundled with real-time eligibility verification and coverage discovery.

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<p>Proactively Detect Changes in <strong>Medicare, Medicaid and HMO</strong> Insurance Coverage</p>

Patient coverage at your fingertips With Real-time Insurance Eligibility Verification

Check patients' coverage in real-time across 800+ payers nationwide with our advanced insurance verification software.

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<p>Patient coverage at your fingertips With <strong>Real-time Insurance Eligibility Verification</strong></p>

Experience Flawless Data Integration

Approved Admissions ensures data clarity through daily synchronization with patient lists from EHR and billing platforms, enabling accurate tracking of insurance eligibility changes.

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<p>Experience Flawless <strong>Data Integration</strong></p>

Instant Insurance Coverage Verification In Your Pocket

Benefit from the convenience delivered by our mobile application, enabling swift insurance eligibility verification, regardless of your location.

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<p>Instant Insurance Coverage Verification <strong>In Your Pocket</strong></p>

Intelligent Approach to Proactive Tracking of Eligibility Changes

Intelligent Approach | Approved Admission

Automate Tracking of Changes in Insurance Coverage for Your Patients

How do you know if the eligibility status of your patients has changed since you’ve started to care for them?
Manually checking every patient is a time-consuming and resource-intensive task. Let our intelligent medical insurance verification software automate this process, and proactively alert you when changes are detected.

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Verify Eligibility from Anywhere on Any Device

From admissions directors to billing departments and SaaS vendors – our health insurance verification software enables clients check patients’ eligibility across more than 800 payers using our Web, Mobile and API access anytime, anywhere, from any device, including within hospital environments.

We support both Real-Time and batch submissions – you choose the eligibility verification method that works best for you. Our system supports organizations of all sizes, whether you are a single person or a large company with 100s of providers and multiple levels of access permissions.

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Minimize Medical Claims Denials

Did you know that every 6th Medicare or Medicaid patient will have changes in their coverage every month? And that 21% of those changes will lead to claim denials if you did not catch them in time?

Approved Admissions conducts real-time insurance eligibility verification and alerts you when action is required to prevent claim denials. Our clients report close to 99% elimination of denials and lost revenue due to the missed coverage changes.

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Experience Seamless Data Integration

Many healthcare vendors use software that is not designed to easily support external systems (billing platforms, CRMs, reporting tools, etc.). As a result, the quality of care suffers – patient information is duplicated and is often out of sync between products used for the delivery of care and RCM processes.

We offer a seamless way to incorporate Approved Admissions into your technical ecosystem through our integrations. They enable quick and effortless connectivity with external data sources, come with pre-configured settings for popular platforms, and can be easily tailored to suit your specific requirements.

See how much revenue is at risk without proactive coverage tracking.

What is the approximate number of patients in your facility?

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Average monthly revenue loss from missed coverage changes: 575

Want to see how this number was calculated? Provide your email below to receive the detailed breakdown.

Why Clients Choose
Approved Admissions

99% Customer Satisfaction

Over 1,500 delighted customers are using our platform. We work with organizations of different sizes, from single providers to large billing groups with 400+ SNFs under management.

Proven Track Record

We provide a reliable solution with over 10 years of market expertise. Our platform has discovered millions of coverage changes and helped customers prevent more than $1B in denied claims.

Flawless Integration

Our platform automatically synchronizes patient lists daily from EHR and billing platforms. This ensures that the automated insurance verification and change tracking reflects all new admissions and discharges.

Unmatched Coverage Change Tracking

Over just a few months, our platform finds:

>
90500

Managed Medicaid Enrollments and Terminations

>
76000

Medicaid Numbers Corrected

>
42000

Medicaid Patient Responsibility Changes

>
62200

Medicare Advantage Enrollments and Terminations

>
18000

Medicare Terminations and Reinstatements

>
2500

Medicare Coverage Discovered

Would you like an API with that?

  • We support and embrace interoperability with partners and external systems. From Health-tech vendors and SaaS solutions that need access to real-time eligibility to large healthcare billing platforms looking for a reliable, HIPAA-compliant partner and health insurance verification software, we are the perfect partner for you.

  • Our easy-to-use eligibility verification API is vendor-neutral, and we are focused on providing our partners with the tools they need to succeed with their products.

Our integrations
Would you like an eligibility API with that?

We Work With

From Skilled Nursing Facilities, DMEs, and physicians to RCM companies, Pharmacies, and billing groups, our clients are nationwide and span multiple sub-sectors of healthcare.

Nursing Homes
Nursing Homes

Whether you need to verify eligibility for a new referral or track changes in coverage for residents on your census, we make it easy with Approved Admissions. Our user-friendly insurance eligibility verification software is praised by customers for its simple yet functional interface and for its proactivity in notifying users when a resident's coverage changes. As a provider, you can easily verify Medicare coverage and number of SNF days remaining; check whether a referral is on a Managed Medicaid plan and plan's restrictions, as well as check details of coverage with 800+ commercial payers. Ask us for a demo, we would love to show you why so many of your peers chose Approved Admissions over the competition.

Billing Companies
Billing and RCM Companies

If you provide RCM/Billing services to Skilled Nursing Facilities, you need to see what Approved Admissions has in store for you. Our product excels in automating patient eligibility verifications and it is custom-tailored to the way you do business. It will help you save time, money, and effort in tracking coverage changes across all your customer's facilities, optimizing your workflow. By utilizing our platform, you will save approximately 78% of the time discovering coverage changes while seeing them approximately 84% faster (when compared to the manual monthly process). For example, we detect Medicare changes in as little as 2 days after the change happens, providing you with an extra 2-3 weeks of lead time to react. We understand how busy you are, and built our platform around the "set and forget" concept - once the initial setup is complete, the system runs automatically without requiring your input and sends you the change notifications automatically via email or API.

DME Companies
DME Companies

As a DME provider, you know how crucial it is to stay on top of the benefit coverage information for a patient before delivering the equipment to them. Approved Admissions makes this process easy. The tool automatically looks for changes in patients' coverage 1 week before and on the day of delivery. If a change in coverage is detected, we alert you with the change discovered so you can decide on an appropriate course of action. Our customers report a 90% reduction in claim denials and significant time savings for their staff.

See our platform in action

We believe that a picture is worth 1000 words. Let us show you what challenges
we solved for your peers, and how you may also benefit from using Approved
Admissions for your organization.

 

Click on the button below to request a demo, we can’t wait to show you our platform!

Insurance Coverage Verification
Now Available on Mobile

Experience the ease of on-the-go eligibility checks with our mobile app. Verify insurance anytime, anywhere, and get automatic notifications in case any changes to the coverage occur.

Approved Admissions Mobile App

Our Partners

Contact Us

Setting up the Approved Admissions platform is simple, and our world-class client support staff is here to help you along the way. Contact us today to find out how we can help to change your approach to eligibility verifications.

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    Approved Admissions, LLC

    7600 Jericho Turnpike

    Suite 202

    Woodbury, NY 11797

    info@approvedadmissions.com

    888-754-5420