Benefit eligibility verification is a time consuming and expensive process for providers and payers alike. The patient's insurance cards are photocopied and the insurance company's 800 number is called to determine eligibility status. Callers must usually deal with busy signals and a long waiting time for assistance. Subsequently, manual transcription of data is necessary, all amounting to a less than effective use of a provider's office staff. The payer's administrative burden is equally cumbersome, since phones must be staffed to provide the information as calls are received. The MedCom USA Provider Transaction Portal enables the payer's office to access this information via a swipe card or a data entry procedure. Almost instantaneously the portal produces a complete display verifying coverage and providing all pertinent patient information such as co-pay, deductible and PCP.

MedCom is currently electronic with over 400 major insurance carriers and plans for instant verification and is constantly adding new carriers.

To see our current list of insurance carriers and plans click here