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eClaimStatus

by eClaimStatus
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OVERVIEW

Real-time, HIPAA-compliant medical insurance eligibility verification and claim status solution for healthcare providers and billers.

eClaimStatus is a cloud-based, web-based software designed to automate and streamline the revenue cycle management process for healthcare providers and medical billing companies. It offers real-time and batch processing for health insurance eligibility verification and claim status checks across a network of over 1,080 payers.

The solution is built to reduce administrative burden, eliminate costly manual processes, and minimize claim rejections and denials, which are often linked to coverage issues.

Key capabilities include Insurance Discovery Software, which uses a combination of human expertise and advanced algorithms to uncover previously unknown or missed patient coverages, and Prior Authorization Automation Services.

The platform is API-ready for seamless integration and is highly secure, holding certifications including SSAE-16 SOC-1, SOC-2, and compliance with HIPAA HITECH, PCI-Level 1 DSS, and NIST 800-53 standards.

eClaimStatus is suitable for all company sizes, from startups to enterprises, and is offered on a flexible monthly subscription model with no long-term contracts.

RATING & STATS

User Rating
4.5/5.0
Founded
2016

KEY FEATURES

  • Real-Time Insurance Eligibility Verification
  • Real-Time Health Insurance Claim Status
  • Batch Processing (Eligibility & Claim Status)
  • Insurance Discovery Software
  • Prior Authorization Automation
  • 1,080+ Payer Network Connectivity
  • API Ready for Automation
  • Demographic Validation with AI

PRICING

Model: subscription
Monthly subscription plans with no lock-in periods or long-term contracts. All-in pricing includes setup, training, and support.
FREE TRIAL

TECHNICAL DETAILS

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

USE CASES

HospitalsClinical LaboratoriesRadiologyEmergency Rooms / Urgent CareGroup / Solo PracticesMedical Billing CompaniesRevenue Cycle Management (RCM)

COMPLIANCE & SECURITY

Compliance:
HIPAASSAE-16 SOC-1SOC-2HIPAA HITECHPCI-Level 1 DSSNIST 800-53
Security Features:
  • 🔒Secure Portal

SUPPORT & IMPLEMENTATION

Support: email, phone, live chat, support ticket, remote screen sharing
Implementation Time: < 1 week
Target Company Size: startup, small, medium, enterprise
TRAINING AVAILABLE

PROS & CONS

✓ Pros:
  • +Real-time and batch eligibility/claim status checks across 1,080+ payers
  • +HIPAA compliant and highly secure (SOC-1, SOC-2, etc.)
  • +Cost-effective, monthly subscription with no long-term contracts
  • +Quick setup (within hours) and easy to use
  • +Includes Insurance Discovery and Prior Authorization Automation
✗ Cons:
  • -Public pricing not disclosed (requires quote)
  • -User interface was noted as 'a little dated' in one review
  • -Some users may prefer a 'live person' for support

TRY IT OUT

ABOUT ECLAIMSTATUS

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