Real-Time Eligibility

Our Real-Time Eligibility (RTE) feature verifies insurance coverage instantly, reducing claim denials, simplifying billing, and improving patient satisfaction.

Reduce claim errors and denials with this automated feature meant to make your life easier.

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Increase Revenue with
Real-Time Eligibility

Instantly verify insurance coverage
Simplify billing
Reduce claim errors and denials
Improve patient experience

PIMSY EHR is a comprehensive electronic health record system designed for mental and behavioral health providers.

Our real-time eligibility tool provides upfront benefit information, eases administrative burdens, and supports clinicians’ informed decision-making — all while ensuring compliance. Boost operational efficiency, increase accuracy during patient intake, and strengthen financial performance, with PIMSY’s Real-time Eligibility feature.

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Simplify Insurance Verification
Benefits of PIMSY’s Real-Time Eligibility Feature

Increase Efficiency

RTE eliminates the need for manual insurance verification, speeding up intakes and patient check in.

Accurate Billing

Up-to-date benefit information helps prevent errors from manual processes, reducing claim denials and improving revenue collection.

Better Patient Experience

Less time spent on administrative tasks means quicker check-ins, shorter wait times, and fewer billing surprises.

Financial Transparency

Instant clarity on co-pays, deductibles, and coverage details helps patients understand their financial responsibility upfront.

RTE Features for Your Practice
Transform billing with Real-Time Eligibility

Instant Insurance Verification

Check a patient’s active coverage status, covered benefits, co-pays, deductibles, service limitations, and exclusions (when applicable) within seconds.

Eligibility at Every Visit

Each appointment is backed by an up-to-date eligibility check, reducing the risk of uncovered services.

Secure Data Transmission

All eligibility checks comply with HIPAA standards for the confidentiality of protected health information.

Automatic Chart Updates

Insurance details update automatically in the client’s medical record, reducing data entry errors.

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Hear what our users have to say

“The system is user-friendly and the PIMSY team is professional, easily accessible, and friendly. The system is great and covers all of our needs.”

– Deidre W.

“We have worked with PIMSY for several years and received excellent support. They go above and beyond to help tailor the PIMSY system to what your company’s needs are. They have helped us out many times over the years. Thank you!”

– Tiffany F.

Frequently Asked Questions

Read some of the most common questions about Real-Time Eligibility (RTE).

How does real-time eligibility benefit my mental health organization?

Real-Time Eligibility (RTE) streamlines the insurance verification process, reducing the workload for administrative staff, minimizing errors, and improving efficiency. By submitting an eligibility request at the time of service, agencies receive eligibility information instantly, leading to fewer claim denials, and stronger cash flow through more accurate billing and patient collections.

How does real-time eligibility improve patient experience?

RTE provides immediate and transparent information about the patient’s insurance coverage, including out-of-pocket expenses such as co-pays and deductibles. This reduces confusion, decreases wait times, and helps patients make informed decisions about their care, leading to a more positive experience and fewer unexpected costs.

Can real-time eligibility be performed for all types of insurance plans?

Yes, RTE supports a wide range of insurance carriers and insurance providers, but the availability and extent of information may depend on the payer’s capabilities and the type of service being verified.

How secure is real-time eligibility?

RTE uses real-time transactions and secure electronic data interchange (EDI) protocols to ensure necessary information is transmitted safely. The system complies with HIPAA (Health Insurance Portability and Accountability Act) regulations.

How does real-time eligibility affect the billing process?

By verifying insurance coverage at the time of service, RTE reduces the likelihood of claim denials and delays, leading to more accurate and timely billing. This helps improve the overall revenue cycle management process.

Simplify Insurance Verification with PIMSY

Discover how our Real-Time Eligibility feature can simplify your check-in process, improve financial transparency, and strengthen revenue cycle management for your mental health organization. Schedule a demo and experience the difference that efficient, user-friendly solutions can make in your daily operations.

Let’s work together to provide exceptional care for your patients! Have questions? Contact us at +1 877-334-8512 or hello@pimsyehr.com.

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