Online Patient Eligibility Checking Portal for non-ECLIPSE enabled hospitals and day surgeries
The Patient Eligibility Check determines whether the patient is eligible for a selected presenting illness/condition or specific MBS Item as at the admission date. It details the out-of-pocket expenses a patient has for excess and co-payments associated with the hospital product.
Our solution ensures the most accurate assessment is provided and that the assessment data is clearly interpreted. This not only achieves operational efficiencies but also creates excellence in customer service.
Medicare ECLIPSE Standard
Built to integrate with Medicare ECLIPSE industry portal and follow industry data protocols (OPV/ECF). This allows funds to use their existing Eclipse integration to process incoming requests.
Better Provider Experience
Most hospital facilities who need to use Web UI to perform online patient eligibility check have already been registered in Civica’s system. Hospitals will welcome a standardised and unified user experience, without having to switch to fund-specific provider portals.
High Operational Efficiency
All major funds (> 70% of the PHI market) have decided to increase their operational efficiency and reduce costs by moving the Online Patient Eligibility Check feature away from fund-specific provider portals into Civica’s standard portal.
Why choose ECF Web
Ensures the most accurate assessment is provided
Achieve greater operational efficiencies
Significantly increased dataset available for eligibility responses
How can we help transform the way you work?