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Approved Admissions

by Approved Admissions
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OVERVIEW

A secure, cloud-based platform that automates tracking of insurance coverage changes and provides real-time eligibility verification for healthcare providers.

Approved Admissions is a secure, cloud-based platform designed to automate the tracking of coverage changes for Medicare, Medicaid, and commercial payers, bundled with real-time eligibility verification and coverage discovery . Its primary goal is to help healthcare providers and billing companies minimize claim denials due to a missed insurance coverage change and accelerate the billing cycle .

The platform leverages an innovative RPA (Robotic Process Automation) solution to connect separate database systems, ensuring patient data consistency and accelerating health data transfer . Key benefits include the proactive detection of changes in insurance coverage, with notifications delivered automatically via email or API, enabling quick action to prevent claim denials . The system offers a web portal for real-time verifications across over 1,300 payers nationwide and supports batch eligibility verification in CSV format .

Approved Admissions is built for seamless integration with leading Revenue Cycle Management (RCM), Electronic Health Records (EHR), and billing platforms, including popular systems like PointClickCare, MatrixCare, and SigmaCare . The platform is designed to be easy-to-use, requiring minimal additional training, and has helped clients achieve a clean claims rate up to 99% elimination of denials and lost revenue due to missed coverage changes . It works with organizations of all sizes, from single providers to large billing groups .

RATING & STATS

Customers
1,500+
Founded
2013

KEY FEATURES

  • Automated Eligibility Verification & Re-verification
  • Real-time Coverage Change Tracking & Notifications
  • Insurance Coverage Discovery
  • Seamless EHR/RCM/Billing Platform Integration
  • Batch Eligibility Verification (CSV support)
  • Medicare Beneficiary Number (MBI) Lookup
  • Revenue Cycle Management Support
  • Web Portal for Real-time Verifications (1300+ payers)

PRICING

Model: subscription
Starting at: USD 100.00
Custom plans are available, often based on a flat rate for UNLIMITED verifications. Starting price is reported to be around $100 per month.

TECHNICAL DETAILS

Deployment: cloud, saas
Platforms: web, ios, android
📱 Mobile Apps🔌 API Available

USE CASES

Minimize Claim DenialsAccelerate Billing CycleRevenue Cycle ManagementPatient Eligibility ChecksCoverage Change Tracking

INTEGRATIONS

PointClickCareMatrixCareSigmaCareDKS/CensusFacilitEaseEHR platformsBilling software

COMPLIANCE & SECURITY

Compliance:
HIPAA
Security Features:
  • 🔒Data Encryption
  • 🔒User Access Controls
  • 🔒Audit Trail

SUPPORT & IMPLEMENTATION

Support: email, phone, online
Implementation Time: 1-4 weeks
Target Company Size: startup, small, medium, enterprise, nonprofit, government
TRAINING AVAILABLE

PROS & CONS

✓ Pros:
  • +Automated, proactive coverage change tracking to prevent denials
  • +High clean claims rate (up to 99% elimination of denials)
  • +Seamless integration with major EHR/RCM platforms
  • +Flat-rate unlimited verifications pricing model
  • +Mobile app available for on-the-go eligibility checks
✗ Cons:
  • -Pricing is not publicly disclosed and requires a custom quote
  • -No free trial or free tier available
  • -Limited public reviews and ratings available on major software comparison sites

TRY IT OUT

ABOUT APPROVED ADMISSIONS

BROWSE SOFTWARE IN INSURANCE ELIGIBILITY VERIFICATION