CU Users Group

[jignesh]

Can anyone suggest vendor names who provide Medicaid eligibility verification services?

[GHAWKINS]

Here's some information for you; I've known Tim Robertson for about 12 years now - he's a great guy.

It really depends on exactly what you're are looking for in the way of eligibility. If it is for one of your medical customers, then ARM provides eligibility service which also includes enrollment into Medicare / Medicaid etc.

If you're asking for a “scrub” product, then Emdeon is the major one out there that can scrub for eligibility against all payers, including Medicare / Medicare. This is more of a mass scrub / batch process for Vendors such as us. The Emdeon product is called eScan.

Hope this helps:

Tim Robertson
Vice President of Business Development
Advanced Reimbursement Management
www.advancedreimbursement.com
tim.robertson@advancedreimbursement.com
Mobile: (602) 576-2352
Direct: 602-636-5563
Fax: 602-265-3693

[jignesh]

Thanks for the reply.

We are looking for Medicaid Enrollment related scrub product/services. Are there any other vendors like Emdeon who can provide this?

Alternatively has anyone tried getting the enrollment data directly from State Medicaid Department?

[tboysen]

Try www.passporthealth.com. They may have what you are looking for.
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Terry Boysen
Harris & Harris, Ltd.
222 Merchandise Mart Plaza
Suite 1900
Chicago, IL 60654