Eligibility Detection

Finding Missing Coverage, Improving Your Bottom Line

Nemadji’s back-end Eligibility Detection solution finds coverage for services not found by internal processes and other vendors.

Maximum Flexibility

Eligibility Detection works seamlessly with existing systems and processes to complement and enhance current efforts, at any point in the post-service timeline. Flexibility allows for placement ahead of or behind internal processes and other vendors.

84% of our clients utilize Eligibility Detection in support of other back-end processes.

65% of our clients see over $1M in net new revenue annually when using Eligibility Detection.

Our Results Speak for Themselves

We identify a variety of inaccuracies, such as data anomalies hidden by transposed numbers, patient identification inconsistencies, coding mistakes, patient registration errors, and discrepancies in eligibility sources.

Is Eligibility Detection Right For Your Hospital?

We think so—and here’s why:

How Much Revenue Are You Missing?

Let us focus on finding your missing revenue so you can focus on what matters most—caring for patients.

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