Eligibility Management
American Exchange Eligibility Services
- Medical Necessity – EHR \ EMR docs, Physician Orders \ Notes, Labs, Imaging, Rx
- Income – State FPL Levels, Employment, Wage, Sliding Scale, Program reqs
- Medicare \ Private Insurance – Procedure, EoB Cover, Limits, Dates, Co-Ins. \ Deductible
- Medicaid – Procedure, EoB, Cover, Limits, Dates, Co-Ins. \ Deductible, Subsidies
- Subsidy Programs – Federal \ State \ County, Service Lines (Vaccine, HIV, CHIP, Women)
- Financial Mgt – Plan \ Budget, Rev. \ Exp. Mgt., A \ R Mgt., Productivity, Sustainability
- Analytics – Detailed Analysis of Trends, Reporting, Claims, Networks, Service Lines, AI / BI
Please contact RCM@americanexchange.com for more information or into specific services.
