EHNAC accreditation
These accreditations assure patients and providers that Eligible has accomplished the strictest compliance with privacy and security best practices while processing millions of healthcare cases each month.
SOC II compliant
We fully understand the role of a mature and proven information security program in meeting Eligible and customer goals. We are happy to announce the successful completion of our Type II SOC2 review.
HiTrust certification
Achieving this certification helps us assure our customers and the companies with which we interact that we understand our responsibilities in keeping protected health information safe.
CAQH CORE certification
This confirms that Eligible can exchange electronic healthcare information for eligibility, benefits, claims status, and EFT and ERA, in conformance with the Phase I-III CAQH CORE Operating Rules.
Built for developers
The best patient experiences are built with Eligible
Most medical service providers still rely on a highly manual, error-prone process for Patient and Insurance billing. Build Eligible’s dead simple APIs for Estimations, Statements, and Claims into your apps today.
Easy integration
Our customers range from small start-ups with a few folks on staff to public companies with billions of dollars in annual revenue. Using Eligible, an integration proof of concept can be deployed in minutes.
Cross-platform
Eligible should work everywhere, so we continually add libraries with the programming languages of your choice.
Developer support
Browse Eligible’s detailed code samples, code libraries, sandbox and step-by-step tutorials or contact Eligible’s technical team to support your engineering needs.
RadNet sees dramatic time of service collections increase with Eligible integration.
Medical Billing Developer Platform
We're all about the patients
Eligible builds the most versatile tools for patient healthcare eligibility and insurance claims processing. Whether you’re building a consumer scheduling interface, check-in kiosk, or back office denial management solution Eligible’s simple APIs and advanced functionality help you create the best possible product for your users.
File Insurance Claims
We help organizations avoid traditionally drawn-out integration cycles. Our approach enables an end to end setup in less than a days work.
Determine Costs of Treatment
Eligible’s toolset plays nicely with all of your existing workflows. Whether your organization prefers desktop, web or mobile platforms.
Collect from Patients & Insurers
We believe billing inaccuracies are a problem rooted in code, not people. We incorporate reconciled results to deliver continual improvements.
Feature-packed simplicity
Healthcare systems, inspired by the power of machine learning, business intelligence, automation, and technology in general, drive our continuously improving feature set.
Data-driven payer lists
Synthesizing art and machine learning, we’ve compacted a heavy-weight payer search experience into a light version that achieves instant interoperability.
Real-time interfaces
All transactions are sent to insurers in real time accessing the most recent up to date information on the patient’s health insurance benefit.
Connectivity management
Eligible does the heavy lifting maintaining connectivity to over 90% of the insured population giving you an opportunity to focus entirely on the user experience.
Best-in-class support
Real time chat, phone, email and ticket support available to all customers of all sizes 100% free of charge.
Same-day integrations
We’ve engineered Eligible to support an end to end Advanced Patient Eligibility integration in less than 10 minutes.
Advanced workflows
From claim scrubbing to estimating and back again, our singular focus on eligibility provides you with unmatched functionality.
Meet our artificially intelligent bot
Recently we welcomed a new member to Eligible, and she’s quite special. Her name is Ellie. Ellie is our company bot. She helps with various applications, with the goal of making lives easier. With her, we can do things smarter, faster, and be more productive.