Insurance Profiles
Streamlining patient enrollment and insurance carrier management.
Master Carrier Management
Curenium allows hospital administrators to build a comprehensive registry of insurance providers and their specific plans.
Key Capabilities
- Provider Hierarchy: Manage multiple plans (Gold, Silver, HMO, PPO) under a single carrier.
- Deductible Tracking: Automatically monitor patient deductibles and co-pays.
- Plan Constraints: Define which services are covered under specific plans to prevent billing errors.
Eligibility Verification
Carrier: BlueShield
ACTIVE
Co-Pay
$25.00
Deductible Met
100%
Single-click real-time verification of patient insurance status.
Patient Enrollment
During the admission process, staff can quickly search for existing insurance profiles or create new ones using barcode scans of patient insurance cards.
Real-Time Eligibility (RTE)
Connect directly to insurance clearinghouses to verify coverage in seconds.
Explore Module
Coordination of Benefits
Easily manage Primary, Secondary, and Tertiary insurance priorities.
Explore Module
HMO/PPO Logic
The system automatically flags if a patient requires a referral for a specific specialty visit based on their plan type and the selected provider.