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ClinicTracker Eligibility

by ClinicTrackerclinictracker.com
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OVERVIEW

Automated insurance eligibility verification integrated into the ClinicTracker EHR for behavioral health and substance abuse practices.

ClinicTracker Eligibility is a core component of the comprehensive ClinicTracker Electronic Health Record (EHR), billing, and practice management system, specifically designed for behavioral health and substance abuse agencies. The Eligibility feature, often referred to as Insurance Eligibility Verification, is critical for streamlining the revenue cycle and reducing claim denials by instantly checking patient insurance status prior to service delivery.

The overall ClinicTracker platform is a single, fully integrated solution that automates routine clinical and administrative tasks, boosts staff productivity, and maximizes billing efficiency. It manages the entire operation from patient intake to discharge, encompassing clinical records, scheduling, compliance tracking, and revenue cycle management (BillingTracker).

Key capabilities of the full system include a Custom Form Builder and Workflow Builder for high-level customization, AI-Enhanced Documentation (Clinical Scribe) for auto-generating session notes, a HIPAA-compliant Patient Portal, and a Telehealth Connector. The system is known for its exceptional flexibility to suit a variety of specialties and its rapid implementation timeline, often taking only a few weeks. It is also backed by a highly-rated, US-based support team.

Target Users & Use Cases:

  • Mental Health Clinics
  • Substance Abuse Agencies
  • Foster Care Agencies
  • University Clinics
  • Family Counseling Services
  • Any behavioral health provider seeking a single, integrated, and highly customizable EHR/PM/Billing solution.

RATING & STATS

User Rating
4.5/5.0
Founded
2000

KEY FEATURES

  • Insurance Eligibility Verification
  • HIPAA-Compliant Claims Submission (BillingTracker)
  • Revenue Cycle Management
  • Custom Form and Workflow Builder
  • AI-Enhanced Documentation (Clinical Scribe)
  • E-Prescribing (Surescripts-certified)
  • Patient Portal and Telehealth Connector
  • Automated Appointment Reminders

PRICING

Model: subscription
Starting at: USD 70.00
Subscription-based, with the Basic plan for the full EHR system starting at $70/user/month. Final pricing is personalized and available upon request. Discounts are available for non-profit and educational organizations.
FREE TRIAL

TECHNICAL DETAILS

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

USE CASES

Insurance Eligibility VerificationRevenue Cycle ManagementClinical Documentation and ChartingPractice Management and SchedulingTelehealth Services

INTEGRATIONS

Surescripts (e-Prescribing)TrueConf (Telehealth)Lab IntegrationIntegrated Credit Card Processing

COMPLIANCE & SECURITY

Compliance:
HIPAAMeaningful UseONC-ATCB
Security Features:
  • 🔒Role-Based Access Control
  • 🔒Differential Chart Access (Minimum Necessary)
  • 🔒Password Management
  • 🔒Secure Messaging

SUPPORT & IMPLEMENTATION

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

PROS & CONS

✓ Pros:
  • +Exceptional flexibility and customization for behavioral health workflows
  • +World-class, fast, US-based customer support
  • +Fully integrated EHR, practice management, and billing in one system
  • +Rapid implementation timeline (typically a matter of weeks)
✗ Cons:
  • -Limited documentation or explanation for some features
  • -Reported occasional network kick-outs or login issues
  • -Pricing is not fully public and requires a personalized quote

TRY IT OUT

ABOUT CLINICTRACKER

Other software by ClinicTracker:
ClinicTracker (Substance Abuse TreatmentSAMHSA compliance and reporting)

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