Trying to fit all of the moving pieces of uninsured patients, State and Federal Programs and MNsure can feel like you're always missing a piece to the puzzle. MedEligible Services is that missing piece needed to complete your financial puzzle.

Services

A propped up puzzle piece that says 'success' on it.MedEligible Services provides advocacy support to assist your uninsured and underinsured patients meet medical financial needs by applying for state or federal benefit programs on their behalf. We advocate for your patients through the entire financial assistance application process resulting in increased timely payments and reduced bad debt write-offs by finding the right financial program to fit your patient’s circumstances.

MedEligible Services is available to assist your patients in applying for Social Security benefits. We work with your patients at every stage of the Social Security process from initial application to representing them at the Hearing level.

Our team of Document Retrieval experts work on behalf of the provider to obtain the signatures needed to bill insurance for services you provided in good faith. The team uses many resources to contact the patient and deliver a signed document or the missing information required by the insurance company to process your claim. We Are Diligent...

The MedEligible Services Difference

We set ourselves apart from our competitors because of our years of dedicated advocacy for the patients and hospitals we serve. MedEligible Services has established key associations with each of the counties and key decision makers through years of partnering and relationship building that comes with experience and dedication. We participate in the monthly MNsure External Partners Meeting and are one of the few selected members to participate in the MNsure Certified Application Counselor Stakeholders Group Meetings.

The services we offer your patients extend beyond assistance with medical bills. MedEligible Services has a team of Social Security Advocates that work with patients through every stage of the Social Security process, communicating on behalf of the patient with the Social Security Office, Disability Determination Services, Office of Hearing and Appeals, and Medical Providers. We differ from other agencies by providing consistent personal guidance throughout the entire Social Security application process. We Are Exceptional...

Experience

Our Advocates have over 30 years of experience working in the healthcare industry and previous county and DHS experience. We possess decades of strong relationships that have proven invaluable in navigating through the constant changes that the State and Federal government have made to Medicaid. We have a team that has dedicated their careers to assisting patients in applying for State and Federal Assistance. All MedEligible Services advocates are Certified Application Counselors with MNsure and available to assist patient’s bedside or in their homes. We follow the financial application through the entire application process until approved, including the appeal process and work directly with social workers to facilitate the best outcome. Our team is trained in Presumptive Eligibility to ensure facilities maximize all DHS benefits available. We Are Dedicated...

Relationships

Because we know that confidence is the foundation of all business relationships we have established direction connections with the counties, DHS, and within the community to assist in difficult cases and advocate on behalf of the patients and communities we serve. We are members of the board of MNsure Certified Application Counselors Stakeholders Group, consisting of the top 8 MNsure CAC organizations in Minnesota. Due to our community involvement with the counties and DHS we were chosen for this key position to assist in advocating for the patients we serve to remove the MNsure barriers they continually face. We attend county conferences such as the Minnesota Financial Worker and Case Aide Association and participate in all DHS meetings. We Are Involved...

Proven Track Record

Our 80% success rate means that patients are set up on the program that meets their individual needs in a timely manner, increasing provider reimbursement, reducing collection follow-up costs, increasing timely payments, and reducing bad debt for the facilities we serve. This includes getting approval for discharge placement in skilled nursing facilities reducing your length of stay and applying for Minnesota Care and/or your facilities financial aid program. Our proven track record, personalized approach, community relationships and resources address all patient needs, not just getting the medical bills paid. We Are Successful...

Beyond Self Pay

MedEligible Services educates patients and families on other services they may qualify for such as Social Security, Veterans Administration, CADI waivers, Food Stamps, WIC, heating assistance, Emergency Food and Shelter, Drug discount programs, the Application for Payment of Long Term Care services, completing the LTC application, approval for discharge into a Skilled Nursing Facility, the SMRT process, and assistance in applying for each hospitals financial aid program. We Are Compassionate...

Long Term Care

MedEligible Services works with your social workers and the Long Term Care facilities to assist in discharge planning and getting the patient into the best facility to care for their needs. By working closely with the counties, Long Term Care facilities, and social workers, we are able to complete the appropriate documentation and bridge the gap of communication between hospital and facility, resulting in the best care for your patients and reduced length of stay. We Are Stewards...

Social Security Disability

A sign that says 'Social Security' with people sitting in a circle around it.

Applying for Social Security Disability can be a daunting task for anyone, but especially for those trying to come to terms with their limitations and in need of someone to advocate on their behalf. Our disability advocates assist in every stage in the process. They complete paperwork for the patients, communicate on behalf of the patient with the Social Security Office, Disability Determination Services, Office of Hearings and Appeals and medical providers, obtain medical records, file appeals and appeal reports, obtain medical opinions from providers, complete legal memorandums, and represent patients through the hearing level. Our advocates provide personal assistance and direct contact through the entire application process including a hearing level advocate on staff that has a Juris Doctorate and Master's Degree in Counseling to represent patients at the hearing level that is well respected in the community. Patients work with the same advocate throughout the entire process and our team is assigned a reasonable case load to give individualized attention to every patient during this difficult and long process. We Are Advocates...

Removing Barriers to Payments

As a provider you deliver care in good faith expecting reimbursement from the insurance companies you bill, but far too often this reimbursement is delayed due to missing information needed to process the claim. Our Document Retrieval service assists in removing these barriers that prevent prompt payments. Our team of Document Retrieval experts work on behalf of the provider to obtain signatures on documents required to bill insurance or receive payment. Our advocates specialize in utilizing all tools at their disposal including skip tracing, community connections, county relationships, and field visits to the patient’s home to obtain the information or signature needed to bill their insurance company. These documents include Hysterectomy consents, Motor Vehicle and Work comp forms, Release of Information forms, Assignment of Benefits forms, all Medicare Forms, and any other missing information the insurance company needs in order to process your claim. Our advocates have over 30 years of experience and relationships in the community to successfully obtain the signatures needed from your patients. We Are Experienced...

Let MedEligible Services make a difference in your patient’s lives:

  • We work closely with your staff to share our detailed knowledge of Medical Assistance programs and keep them informed and aware of the constantly changing benefit rules.
  • We work to enhance your patients overall well-being by assisting them with other programs including food stamps, emergency assistance, shelter vouchers, Social Security and Veteran's Administration.
  • MedEligible Services staff members are specialized in assisting clients with Social Security Disability claims. We can assist the patient throughout the entire process from the initial application, interviews, appeals and Administrative Law Judge (ALJ) hearings
  • Insurance often requires additional information from the patient before they will approve or reimburse services. We assist in obtaining the patients required signatures and any documents necessary to bill insurance and Medicare, to assist in removing that barrier to reimbursement or care for your patients.
  • We work with your patients, acting as a liaison, to resolve insurance issues including those related to auto accidents, workman’s compensation injuries and primary payer disputes.