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eSolutions’ services provide ease of monitoring Medicare claims
Marie Murphy
Business Office Manager
Lake Region Healthcare Corporation

Medicare Eligibility Verification

Would you like to verify Medicare and Medicare HMO eligibility in one step?
How can we help?
MedicareMVP is a Web-based Medicare Eligibility Verification tool that allows Part A and Part B providers to verify their Medicare patients in real time or through our batch processes.

Benefits include:
  • Decreased registration errors
  • Increased staff efficiencies
  • Increased cash flow
  • Easily identify HMO and Medicare Advantage data, including patient names, addresses and phone numbers
Want to check Medicare eligibility in real time?  Try eSolutions' MVP Live, which allows you to get the answers
Request Information
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you need, when you need them.  Use MVP Live by itself or as a complement to Medicare MVP's batch processing.

Medicare eligibility verification is a critical step in the revenue cycle. Using MedicareMVP or MVP Live as part of the verification process gives two types of patient information: personal and coverage.

Personal information
  • Name
  • Birth date
  • HIC number validation
  • Gender
Coverage information
  • Type of coverage (Part A and/or Part B)
  • Deductible data
  • Days information
  • Medicare HMO and/or Advantage (name, address and phone included)
  • Preventative services
  • Home health sessions (PPS Episodes)
  • Hospice episodes
  • MSP insurance
How does it work?
Part A and Part B providers can log into our HIPAA-compliant Web site, MyMedicareData.com, and submit a patient’s information for eligibility verification.  MedicareMVP creates a comprehensive coverage-detail report, allowing providers to easily and accurately verify patient data in real time.

Providers can choose the reporting option that best meets their needs: Web-based or batch.
  • Web-based: our Web interface allows individual users to submit patient data in real time with very little set-up time.
  • Batch: we will process daily, weekly or monthly batches for you at no added cost.
Many providers utilize Medicare MVP’s specialized features to create an integrated eligibility system linked with their registration system for an automated verification.


Request more information on MedicareMVP and start your free trial today!


Subscribers of MedicareMVP and MVP Live also commonly utilize:
  • Part A Claims Management: MedicareSAM is our Medicare Part A claims management and revenue cycle management tool. It provides workflow automation as well as trending and analysis reporting.


  • Part B Claims Management: MedicareCSI is our Medicare Part B claims management and revenue cycle management tool. It provides workflow automation as well as trending and analysis reporting.


  • DDE Connection: Medicare Navigator is our Web-based Medicare online connection (DDE or FISS).
 
 
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