Intellect™
THIRD-PARTY VENDOR OPTIONS
Eligibility Verification Third-Party Vendors
(Updated 06/14/2023)
Eligibility Verification is only available through the supported electronic clearinghouses. The supported clearinghouses may offer additional services, as noted below, which must be requested during the signup process. After signup is completed with the clearinghouse, enrollment may be required for individual insurance payers prior to sending eligibility requests (see links to clearinghouse Payer Lists below).
NOTE: PCS Support must set up the Utility --►Insurance --►Tele Com and Utility --►Insurance --►Insurance screens with your clearinghouse credentials to enable Real-Time and/or Batch Eligibility Verification. Contact support@primeclinical.com when you receive your credentials.
Supported Electronic Clearinghouse Options:
Please click for contact information:
INOVALON (formerly Ability)
Electronic Claims, Electronic Remittance Advice (ERA), Electronic Patient Statements and Eligibility Verification.
• Eligibility Payer List: https://www.inovalon.com/payer-list/
OPTUM (formerly INGENIX/ENS Health)
Electronic Claims, Electronic Remittance Advice (ERA), Electronic Patient Statements, and Eligibility Verification
• Real-Time Eligibility Payer List: https://www.enshealth.com/iedi/enspublic/Download/Payerlists/OptumInsight%20RT%20Eligibility%20Payer%20List.pdf
Refer to Eligibility Verification Feature Overview for more information on Eligibility Verification.