Eligibility Verification System
This is a Internet-ased system electronically linked to providers.
The system was specifically designed to greatly reduce administrative
cost by decreasing fraud and the labor cost associated with
other forms of member verification. The accuracy and
speed of the system enhances the relations between health
plan providers, plan members and health plan managers.
The Eligibility Verification System is a versatile system
offered in two modules. The base module provides health
plan member verification; the optional referral module
adds referral authorization verification. The Vivax
Host logs the call and then responds to the verification
request with a denial or an authorization plus significant
member demographics and referral information.