For eClinicalWorks Practices
Insurance Verification Automation for eClinicalWorks
EligibilityMD layers on top of eClinicalWorks to automate full insurance eligibility verification on every appointment — no extra system for your front desk to log into.
The problem
eClinicalWorks gives you a baseline eligibility response, but it doesn't get you to a decision: is the planned visit covered, what's the patient's out-of-pocket, does the procedure need auth, and is the rendering provider in-network for this plan? Your team works around the gaps by checking portals manually, and that's where time and accuracy go to die.
What EligibilityMD does
We pull the eCW schedule, run a full benefit-level eligibility and auth check 1–3 days before each visit, and route exceptions back into eClinicalWorks with payer notes attached. Your team only touches the cases that actually need human judgment — everything else is handled silently.
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