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Medicaid & Private Health Plan Insurance Eligibility Verification - Click HERE for your 5 Free Trials!

Verify your patient's Health Insurance Eligibility quickly, easily, and inexpensively through our online Medicaid & Private Health Plan Insurance Eligiblity System. 

A great way to maximize payment and minimize errors on apps.cortexedi.com

  • Eliminate timely phone calls and hold times
  • Increase your chances of being reimbursed quickly and efficiently
  • Access over 400 Health Insurance Payers including all state Medicaids, all state Blue Cross plans, Cigna, Aetna, United Healthcare, Kaiser, and many more

What is Medicaid & Private Health Plan Insurance Eligibility Verification?

Medicaid & Private Health Plan Insurance Eligibility Verification is a fast and secure method to instantly retrieve patient insurance information from over 400 Health Insurance Payers from a single point of access including:

  • Coverage Information.
    Use Cortex EDI Medicaid & Private Health Plan Insurance Eligibility Verification to get information about services for your patients.

  • Patient Information.
    Retrieve patient information including patient address based on Payer's records.

  • Deductible Amounts.
    Get the Dedictuble amounts applied and remaining per year for each Coverage Level.

  • Co-payment Amounts
    Get the Co-payment amounts required for each Service Type. (In and Out of Network)

  • Out of Pocket (Stop Loss) Amounts
    Determine the out of pocket (stop loss) amounts for each Coverage Level and Service Type for plans in and out of network.

  • Co-Insurance Amounts and Percents
    Get the detailed Co-Insurance Amounts for each Coverage Level and Service Type.

  • Limitations
    Determine the patient's medical coverage limitations.

  • Determine the patient's Primary Care Provider
    In some cases, the payer will give you information about the patient's Primary Care Provider, including physician name and phone number.

  • And Much More...
    Much more valuable information about the patient is revealed, according to the individual Insurance Payer.

How much does Medicaid & Private Health Plan Insurance Eligibility Verification cost?

  • 5 Free Trial Requests.
    Get a taste of the site before entering your billing information. There is no obligation.

  • Just $25 per month.
    Includes 100 FREE requests, and only $0.25 for each additional request. You can cancel the service at any time.

  • Call Cortex EDI for more details at (800) 485-5977 or email support@CortexEDI.com.

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