Eligibility Module
CopilotPro21's Eligibility Module streamlines the Medicaid eligibility verification process at the provider level. The application programmatically checks all of your consumers daily. It notifies you the instant a consumer is no longer eligible and enrolled within their respective program, which ultimately helps reduce delivering services to ineligible consumers.
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*Data on this page is fictitious and does not include any real PHI
Clear Visibility into Eligibility
Email Notifications
Email notifications for eligibility status provide automated, real-time updates on coverage changes and status updates. This helps users stay informed, reduce manual follow-ups, and improve workflow efficiency in eligibility management.
Future Checks
Future eligibility checks allow users to view whether a consumer’s eligibility is scheduled to terminate at a later date. This provides visibility into upcoming coverage changes, helping teams plan ahead with confidence and avoid providing services to ineligible consumers.
Monitor MCO Switches
MCO switch monitoring enables users to identify when a consumer changes managed care organizations. This provides visibility into coverage transitions, helps maintain accurate eligibility records, and ensures providers bill the correct payer for services rendered.
Alert Dashboard
The alerts dashboard provides a centralized view of key eligibility activity, including MCO changes, eligibility alerts, and status updates. This consolidated visibility helps users quickly monitor results and stay informed without navigating multiple areas of the system.
Eligibility Status Dashboard: A centralized eligibility dashboard that shows coverage status, lists consumer MCOs, and provides clear reasons for eligibility changes and ineligibility.