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Verifying the future of electronic eligibility verification.
J R Stevens1, K O'Donnell, D Russo
1StellarNet Inc., San Francisco.
Infocare : Information Strategies for Healthcare Networks
|August 6, 1994
Summary
Vendors and users recognize barriers to online eligibility verification systems. Industry leaders discuss the necessity and financial benefits of these systems for payers, providers, and clearinghouses.
Area of Science:
- Health Informatics
- Healthcare Management
- Information Systems
Background:
- Widespread adoption of eligibility verification systems is hindered by known obstacles.
- The healthcare industry faces challenges in implementing new technologies.
Purpose of the Study:
- To explore perceptions of the status and need for online eligibility verification.
- To identify the cost advantages of online eligibility verification systems.
Main Methods:
- Qualitative insights gathered from industry executives.
- Discussions with representatives from payer, provider, and clearinghouse communities.
Main Results:
- Executives acknowledge existing barriers to technology implementation.
- Key stakeholders express the need for online eligibility verification.
Conclusions:
- Addressing identified obstacles is crucial for broader acceptance of eligibility verification technology.
- Online eligibility verification offers significant cost advantages for healthcare stakeholders.