For athenahealth Practices
Eligibility Verification for athenahealth Practices
EligibilityMD works on top of athenahealth to automate insurance eligibility verification on every scheduled appointment — without adding another system for your team to learn.
The problem
athenahealth's built-in eligibility check tells you whether a member ID is active. It doesn't tell you whether the visit is covered, what the deductible looks like, whether prior auth is required for the planned procedure, or whether the patient is actually in-network for the specific service. Your team fills that gap manually — and at scale, things slip.
What EligibilityMD does
We pull your athenahealth schedule, run a full benefit-level eligibility check on every upcoming visit 1–3 days early, and push exceptions back into athena with payer notes and recommended next steps. Clean cases never touch your team. Your existing athena workflows stay exactly as they are.
What changes for your practice
- +75% reduction in eligibility verification time
- +Coverage issues caught 1–3 days before the visit
- +Eligibility-based denial rate below 10% within 60 days
- +Your front desk focuses on patients, not payer portals
Backed by our 90-day guarantee. If we don't hit the benchmarks we put in writing, you get your money back.
See also