Eligibility Exchange allows member demographic, eligibility, and PCP information to be imported into eMCee.  It serves as an excellent tool for your organization to reduce the cost associated with managing large member populations.

Feature

Benefits

Multiple eligibility file formats Multiple formats generated from various Health Plans can be imported.
Eligibility updates Handles both initial member and PCP loads as well as periodic updates. 
Full and partial file updates The application can accommodate whether the Health Plan sends full member files or just partial updates that contain only the changes that have occurred.
Exception Handling Eligibility records which do not pass integrity checks can be easily reviewed, corrected, and reprocessed with a click of button. Eligibility records which pass validation checks get automatically imported into eMCee, in other words, one bad record won't prevent other records from being imported.

In addition, bulk errors that effect multiple records can be fixed globally without have to fix eligibility records on a record by record basis

Application Screen Shots

Exception Handling  
 

 

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