EligixIQ connects to the national clearinghouse network to verify active coverage, plan details, deductible and out-of-pocket accumulators, copay obligations, and coordination of benefits in real time. The intelligence layer interprets raw 271 responses into actionable financial data: what the patient owes, what the plan covers, whether a secondary plan is active, and what to collect at the desk. Batch verification runs overnight for the next day’s schedule, payer enrollment status is tracked per practice, and every verification is logged with a full audit trail. Built for revenue cycle companies that need mass eligibility instantly, and available as the coverage stage inside VisitIQ.
Inside EligixIQ
Every capability below exists because a practice asked for it. Nothing here is a roadmap item.
Connected to the clearinghouse network
Standard 270/271 transactions run against the national clearinghouse network, so coverage is checked at the source for commercial, Medicare, Medicaid, and managed-care plans.
Coverage and plan detail in real time
Active coverage, plan and product, network status, and effective dates returned in seconds while the patient is still on the phone or at the desk.
Accumulators, copay, and coordination of benefits
Deductible and out-of-pocket remaining, copay obligations, and whether a secondary plan is active, so the desk knows what to collect and which payer is primary.
The 271, translated
Raw 271 responses are interpreted into plain financial language: what the patient owes, what the plan covers, and what needs a phone call. Nobody reads segment codes.
Overnight batch at any volume
The next day’s schedule is verified overnight across every practice you serve, with exceptions sorted to the top so staff start the morning on the problems, not the list.
Enrollment tracked, everything logged
Payer enrollment status is tracked per practice, and every verification is logged with who ran it, when, and what came back — a full audit trail for every organization you serve.
Tomorrow’s schedule, verified tonight
A batch run across the schedule with coverage status, deductible remaining, copay, and secondary-plan flags per patient, and the exceptions at the top. The example shown here is illustrative, not real patient data.
| Patient | Practice | Payer / plan | Status | Collect at desk |
|---|---|---|---|---|
| M. Torres | Northside Family | UHC Choice Plus | Active | $40 copay |
| R. Chen | Northside Family | BCBS PPO | Deductible | $310 remaining |
| A. Gomez | Riverside Ortho | Medicaid MCO | Terminated | New plan needed |
| P. Shah | Riverside Ortho | Medicare + AARP secondary | COB | $0 · Medicare primary |
| L. Okafor | Lakeview Cardiology | Cigna HMO | Out of network | Call before visit |
- ActiveCoverageBCBS PPO · active since 01/01 · in network
- $310 remainingDeductible$1,500 individual · $1,190 met
- $2,580 remainingOut-of-pocket$4,000 maximum · $1,420 met
- Collect $310Office visitCoinsurance 20% after deductible · no copay
- NoneSecondary planNone reported on this response
| Practice | Enrolled | Pending | Last check |
|---|---|---|---|
| Northside Family | 12 / 12 | 0 | 01:30 |
| Riverside Ortho | 9 / 11 | 2 | 01:30 |
| Lakeview Cardiology | 14 / 14 | 0 | 01:31 |
Illustrative example · not real patient data
From the schedule to the signed record
Connect and enroll
Each practice is enrolled with its payers through the clearinghouse network; enrollment status is tracked from day one.
Verify at the desk or overnight
Single checks run in real time; the full schedule runs in batch overnight for every practice you serve.
Read what matters
Each 271 becomes a short answer: covered or not, what to collect, which plan is primary, what needs a call.
Audit and improve
Every verification is logged. Exception patterns by payer and practice show where enrollment or registration needs fixing.
Facts, not promises.
These are properties of how EligixIQ is built — not projected savings. Results in your practice depend on your payers, your panel, and your documentation.
Standard eligibility inquiry and response transactions, run against the national clearinghouse network
One patient at the desk, or the whole next-day schedule overnight
Who ran it, when, and what the payer returned — kept per practice
Organizations that run on EligixIQ
A good fit when…
- Revenue cycle companies verifying eligibility at scale across many practices
- Front desks that need a clear answer before the patient arrives
- Organizations tracking payer enrollment across multiple locations
See EligixIQ on your own workflow.
Tell us what your organization is fighting — open care gaps, documentation, denials, coverage — and we will walk you through the part of the platform that closes it.