Nemadji’s back-end Eligibility Detection solution combines the extensive knowledge of our team with advanced logic to review patient accounts for cases of missing or previously unknown eligibility across Medicare, Medicaid and commercial insurance.
We find coverage for services not found by internal processes and other vendors—and cover the cost of our solution through the revenue generated from the coverage we find. Best of all—we don’t collect from patients to achieve our results.
Is Eligibility Detection right for your hospital? We think so—and here’s why:
Eligibility Detection service works seamlessly with existing systems and processes to complement and enhance current efforts, at any point in the post-service timeline.
Last in Line™
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. Our results speak for themselves.
We work with purposeful determination to deliver real results. We do this because we genuinely care about helping healthcare providers and the communities they serve.
It means cash, allowing them to better fulfill their mission and reach their objectives.
It means peace of mind when we prove they are covered by insurance.