Introducing Online Eligibility Check for Specialists
Simplifying patient financial transparency for specialist doctors.
Why financial transparency matters
Patients deserve to know their financial obligations before receiving care. The Department of Health recommends that healthcare providers offer cost estimates to patients before treatment to promote Informed Financial Consent. This includes disclosing:
The challenge for specialists
While hospitals and day surgeries have streamlined access to eligibility information, specialists have been left behind, relying on time-consuming phone calls or emails to gather this data.
Online Eligibility Check (OEC) for Specialists
eHealthwise is proud to bring the Online Eligibility Check Web Service (OECW) to specialist doctors through our THELMA platform. This innovative service, previously available only to hospitals, now empowers specialists with:
Real-time PHI eligibility checks
Confirm your patient's eligibility for their presenting condition or illness on the proposed date of treatment.
Out-of-pocket estimates
Access clear information on excess, exclusions and co-payments for hospital stays, prosthetic services and MBS services.
Streamlined workflow
Skip the back-and-forth with insurers and get the information you need instantly.
Who benefits from OEC for Specialists?
Save time, reduce administrative burden, and provide patients with accurate cost information faster.
Gain clarity about their financial responsibilities, empowering them to make informed decisions about their care.
Key features
MBS services
Determine the Medicare contribution for eligible treatments.
Hospital stay coverage
Check PHI benefits for inpatient care.
Prosthetic services
Confirm coverage for prosthetics and related services.
Calculate the cost of administrative tasks
Use our calculator to estimate the cost of time spent on administrative tasks like calling insurers for eligibility information.
