Maximize Revenue
with AI-Powered
Eligibility Verification

Streamline your eligibility verification processes and patient access functions with SolvEdge’s AI-driven solutions. Eliminate errors, reduce denials, and enhance your front-end revenue cycle for a seamless care experience.

  • ✓ Reduce Denials
  • ✓ Increase Efficiency
  • ✓ Transform Patient Access
Healthcare admin reviewing eligibility data on AI-powered dashboard
Healthcare admin reviewing eligibility data on AI-powered dashboard

The Challenges of Manual Verification

  • Errors and Delays: Manual processes often lead to inaccuracies and time-consuming workflows.
  • Revenue Leakage: Missed eligibility checks result in increased claim denials.
  • Administrative Burden: Staff spends hours on repetitive tasks instead of focusing on patient care.

Why Choose SolveEdge

Healthcare admin reviewing eligibility data on AI-powered dashboard
Team Discussion

Eligibility and Enrollment Services

Expand access to care by serving uninsured patients with Medicaid eligibility, financial counseling, and enrollment services.

Team Discussion

Proprietary AI Solutions

Identify insurance coverage issues and continuously improve workflows with AI-driven processes.

Team Discussion

Cost Containment

Leverage our global delivery model to reduce front-end revenue cycle costs and time.

Team Discussion

98% First Pass Claim Acceptance Rate

Achieve compliance with insurer-specific policies and maintain a high clean claim rate.

Proven Benefits for Your Practice

Avoid Unexpected Costs

Proactively minimize claim denials by confirming coverage details in advance. Enable smoother cash flow and improved patient financial transparency.

Real-Time Checks

Perform real-time eligibility checks against multiple insurance carriers to save time and enhance productivity. Focus on patient care, not paperwork.

Transition from Manual Processes

Unlike error-prone manual workflows, automation ensures instant verification, reducing administrative burdens and boosting cash flow.

What Sets SolvEdge
Apart?

Healthcare admin reviewing eligibility data on AI-powered dashboard
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Client Testimonials

“SolvEdge’s AI-assisted eligibility services have transformed our workflow. We’ve reduced denials by 40% and improved cash flow significantly.”

CEO
Leading Healthcare Practice

Ready to Transform Your Revenue Cycle?

Let SolvEdge help you reduce costs, eliminate denials, and focus on delivering quality care.

Frequently Asked Questions

Eligibility verification ensures that a patient’s insurance coverage is active and valid before services are rendered. This reduces claim denials, accelerates reimbursements, and enhances the patient experience by minimizing financial surprises.

Our proprietary AI technology performs real-time eligibility checks, automates workflows, and identifies potential issues in insurance coverage. This reduces errors, saves time, and ensures faster, more accurate verification.

Yes, we specialize in Medicaid eligibility verification, financial counseling, and enrollment services, helping uninsured patients gain access to care.

On average, practices save up to $367,200 annually by transitioning from manual processes to our AI-driven solution. Use our savings calculator to see tailored cost benefits for your organization.

Absolutely. We adhere to all HIPAA regulations to ensure patient data privacy and security.

Implementation timelines depend on your practice’s specific needs, but most clients experience a seamless transition within weeks. Our dedicated support team ensures a smooth onboarding process.

Yes, our platform is designed to integrate seamlessly with major EHR/EMR systems, ensuring smooth workflows without disruption.

Real-time checks eliminate manual tasks, reduce verification times, and improve staff productivity. This allows your team to focus on delivering quality patient care.