For a number of common health insurance transactions (verifying/checking health insurance information for a patient, procedure eligibility, patient demographics, claims status) that are part of the standard HIPAA transaction set, Eligible replaces legacy X12 EDI with a modern API.
Basically, if you are building any healthcare tools that could use administrative information from a health insurance company, you should probably be doing it on Eligible's platform.
Instant integration with over 700 health insurance companies across the country. Healthcare companies use us to query for real time information on their patient's benefit plans. eligibleapi.com
Not related to the project itself but with Eligible. Not sure if the author is related to them.
I just checked their pricing page.
Why the hell do they have this in a threatening wording:
* If you force us to apply pass-throughs we will contact you.
First, why use the * ? I scanned the damn page trying to find out where the * was on the text.
Second, 'if you FORCE us ... we WILL contact you'. I don't even know what pass-through is but honestly, I feel I'm already under scrutiny even before using them.
yeah the wording is my fault. I'll update it now. What I should have wrote is: "if you're using us exclusively for medicaid transactions, we'll contact you"
the reason being is because we actually get charged some govt pass through fee for medicaid transactions right now. for all our other customers the volume is low enough where we just take the loss, but for those only planning to ping medicaid companies it would not be worth it to us.
[+] [-] malay|13 years ago|reply
Basically, if you are building any healthcare tools that could use administrative information from a health insurance company, you should probably be doing it on Eligible's platform.
http://eligibleapi.com
[+] [-] MatthewPhillips|13 years ago|reply
[+] [-] kmfrk|13 years ago|reply
The read-only demo is at http://eligible-demo.herokuapp.com/.
Not that I understand what this is supposed to be about, though.
[+] [-] ghayes|13 years ago|reply
[+] [-] kategleason|13 years ago|reply
[+] [-] sideproject|13 years ago|reply
[+] [-] kategleason|13 years ago|reply
[+] [-] markolschesky|13 years ago|reply
[+] [-] BSousa|13 years ago|reply
I just checked their pricing page.
Why the hell do they have this in a threatening wording:
* If you force us to apply pass-throughs we will contact you.
First, why use the * ? I scanned the damn page trying to find out where the * was on the text.
Second, 'if you FORCE us ... we WILL contact you'. I don't even know what pass-through is but honestly, I feel I'm already under scrutiny even before using them.
Save it for the FAQ or Terms of Service.
[+] [-] kategleason|13 years ago|reply
the reason being is because we actually get charged some govt pass through fee for medicaid transactions right now. for all our other customers the volume is low enough where we just take the loss, but for those only planning to ping medicaid companies it would not be worth it to us.
[+] [-] vyrotek|13 years ago|reply
[+] [-] kategleason|13 years ago|reply
[+] [-] ramoq|13 years ago|reply
[+] [-] kategleason|13 years ago|reply
[+] [-] marikachen|13 years ago|reply
[+] [-] healthenclave|13 years ago|reply
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