Revenue Cycle Management (RCM)

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Canvas logo
Canvas
Canvas
(8 Transcripts)
End-to-End Revenue Cycle Management
Headless EHR
EHR
Canvas Medical is an EHR and revenue cycle management platform that focuses on providing a complete UI for clinicians while providing SDKs and APIs for extending capabilities.
Athenahealth logo
AthenaHealth
Athenahealth
(6 Transcripts)
End-to-End Revenue Cycle Management
Headless EHR
EHR
Telehealth Platform
Athenahealth provides a platform featuring integrated electronic health records, telehealth services, interoperability, revenue cycle management, and population health management, designed to streamline clinical workflows and improve patient care delivery.
Ambience Healthcare logo
Ambience Healthcare
Ambience Healthcare
(4 Transcripts)
AI CDI
CDI
AI Ambient Scribes
The Ambience Healthcare AI Operating System is a suite of applications, including an AI medical scribe and a CDI assistant for coding and billing.
Candid Health logo
Candid Health
Candid Health
(4 Transcripts)
End-to-End Revenue Cycle Management
Revenue Intelligence
AI Billing
AI Denials Management
Candid Health is an end-to-end revenue cycle management platform. It enables claims submission, detects and resolves billing issues, integrates with existing healthcare infrastructure via API, and provides real-time analytics for tracking and improving financial performance.
Enter Health logo
Enter Health
Enter Health
(2 Transcripts)
End-to-End Revenue Cycle Management
AI Billing
Enter Health is a revenue cycle management platform offering automated claims processing, payment posting, denial management, patient collection, and real-time reporting.
Adonis logo
Adonis
Adonis
(1 Transcripts)
End-to-End Revenue Cycle Management
Revenue Intelligence
AI Billing
Adonis is a revenue cycle management platform that offers end-to-end billing solutions, revenue cycle automation, and integrates with EHR and practice management systems to provide medical billing and revenue-related insights.
Apero logo
Apero
Apero
(1 Transcripts)
End-to-End Revenue Cycle Management
EHR
AI Billing
Apero is a healthcare management platform offering integrated solutions for note-taking, scheduling, billing, and prescriptions, with automated workflows, payer enrollment, and robust security features.
Change Healthcare logo
Change Healthcare
Change Healthcare
(1 Transcripts)
Claims Clearinghouse
Change Healthcare offers a variety of revenue cycle management, clinical and imaging, and patient engagement tools, and are well-known for their insurance clearinghouse.
Hint Health Core logo
Hint Health
Hint Health Core
(1 Transcripts)
Patient Billing and Collection
Hint Health Core is a membership management and billing platform for healthcare providers, automating enrollment, invoicing, and employer contract management.
NextGen RCM logo
NextGen
NextGen RCM
(1 Transcripts)
End-to-End Revenue Cycle Management
NextGen RCM streamlines financial processes from patient appointment scheduling to final payment, focusing on optimizing revenue and ensuring regulatory compliance.
PVerify logo
PVerify
PVerify
(1 Transcripts)
Eligibility Checking
pVerify offers patient insurance verification with real-time, API, and batch solutions for various healthcare providers.
Waystar logo
Waystar
Waystar
(1 Transcripts)
End-to-End Revenue Cycle Management
Patient Price Estimation
Eligibility Checking
Claims Clearinghouse
Waystar is an end-to-end revenue cycle management company, offering eligibility verification, claims submission, payment posting, denials management, and analytics.
Weave logo
Weave
Weave
(1 Transcripts)
Patient Engagement
Patient Scheduling
Patient Billing and Collection
AI Contact Center Intelligence
Secure Patient Communications
Weave is a patient communications platform with features like phone services, texting, appointment reminders, team chat, payment processing, two-way texting, online review management, online scheduling, mobile app access, and call analytics.
Banjo Health logo
Banjo Health
Banjo Health
AI Prior Authorization for Payers
Prior Authorization
Banjo Health streamlines the prior authorization process for health plans and pharmacy benefit managers.
Fathom logo
Fathom
Fathom
AI Medical Coding
Medical Coding
Fathom is an autonomous medical coding platform that uses deep learning and LLMs to provide accurate, complete coding for E/M, CPT/HCPCS, ICD, provider assignment, deficiencies, and other coding elements across specialties.
Nym logo
Nym
Nym
AI Medical Coding
Medical Coding
Nym is an AI medical coding product that deciphers clinical language in patient charts and assigns ICD-10 and CPT codes to them using advanced machine learning and semantic technologies. They offer services for outpatient coding for both professional and facility charges, as well as inpatient coding for professional charges.
Opkit logo
Opkit
Opkit
Eligibility Checking
Patient-Facing AI Phone Calls
Payer-Facing AI Phone Calls
Opkit is a customizable AI phone call platform with both AI agents and human agents. Common use-cases include eligibility checks, prior authorizations, denied claim appeals, formulary checks, and appointment scheduling.
Revedy logo
Revedy
Revedy
AI Medical Coding
Medical Coding
Revedy offers AI-driven medical coding software designed to automate and enhance the efficiency of CPT and ICD-10 coding processes. It integrates with existing EHR, HIM, and billing systems through its API, and key features include automated coding, interactive coding support, compliance tools, and detailed ROI analysis.
SmarterDx logo
SmarterDx
SmarterDx
AI CDI
CDI
AI Billing
SmarterDx is a clinical AI tool that performs detailed second-pass reviews of patient discharge data, analyzing chart notes, labs, medications, and vital signs, to identify missed differential diagnoses, clinical documentation, and other coding opportunities.
SuperDial logo
SuperDial
SuperDial
Eligibility Checking
Payer-Facing AI Phone Calls
SuperDial is a platform for AI-enabled payer phone calls for insurance verification, prior authorization, credentialing and enrollment, and claim follow-ups.
Aideo logo
Aideo Technologies
Aideo
AI Medical Coding
Medical Coding
Aideo is a medical coding vendor offering technologies and services to improve coding efficiency.
Apex EDI logo
Apex EDI
Apex EDI
Claims Clearinghouse
Apex EDI provides claims processing, error-checking, and submission to payers, and is integrated with various practice management and EHR systems.
Arintra logo
Arintra
Arintra
AI Medical Coding
Medical Coding
Arintra is an AI powered autonomous medical coding vendor.
Arrive Health logo
Arrive Health
Arrive Health
Prior Authorization
Arrive Health's Prior Authorization solution for providers facilitates real-time access to coverage, cost, and restriction information within the EHR. It automatically initiates the prior authorization process, and shows potential alternative treatment options in the EHR.
Athelas RCM logo
Athelas
Athelas RCM
End-to-End Revenue Cycle Management
AI Billing
Athelas RCM provides a platform for healthcare revenue cycle management focusing on financial reporting and end-to-end billing cycles.
Availity Essentials logo
Availity
Availity Essentials
End-to-End Revenue Cycle Management
Eligibility Checking
Claims Clearinghouse
Prior Authorization
Availity Essentials is a healthcare provider portal offering functionalities like eligibility and benefits checking , claims processing, remittance advice, provider information management, prior authorization and referral management.
Basys.ai logo
Basys.ai
Basys.ai
AI Prior Authorization for Payers
Prior Authorization
Basys.ai is an AI-powered platform that streamlines prior authorization (PA) for health plans using GenAI for policy encoding and request processing.
Brellium logo
Brellium
Brellium
AI CDI
CDI
AI Billing
Brellium offers automated chart review software using AI to flag clinical anomalies, coding errors, and billing issues.
Calvient Channels logo
Calvient
Calvient Channels
Patient Engagement
Patient Scheduling
Patient Billing and Collection
Calvient Channels is a patient engagement platform that integrates with Cerner to provide appointment reminders, customizable communication templates, online registration, and targeted messaging for patient interaction.
Cedar logo
Cedar
Cedar
AI Billing
Patient Billing and Collection
Cedar is a patient payments platform for billing and payment workflows, with features including personalized patient engagement and real-time insights to increase payment rates.
Change Healthcare Prior Authorization logo
Change Healthcare
Change Healthcare Prior Authorization
Prior Authorization
Change Healthcare's Clearance Authorization software is a comprehensive solution designed to streamline prior authorization workflows in healthcare settings. It automates the process of verifying if pre-authorizations are required and on file, directly submitting requests to integrated payers.
Chargebee logo
Chargebee
Chargebee
Patient Billing and Collection
Chargebee is a platform for managing subscription billing and revenue operations.
Claim.MD logo
Claim.MD
Claim.MD
Claims Clearinghouse
Claim.md is a healthcare clearinghouse with an electronic claims processing portal for providers and payers.
MDClarity
Clarity Flow
Patient Price Estimation
Patient Billing and Collection
MDClarity's Clarity Flow automates patient billing and collections, offering transparency and efficiency in the healthcare revenue cycle. The platform provides tools for upfront price estimates, eligibility checks, and real-time payment tracking.
Clearwave logo
Clearwave
Clearwave
Patient Engagement
Eligibility Checking
Patient Scheduling
Patient Intake
Clearwave automates patient scheduling, registration, eligibility verification, and communications.
Co:Helm logo
Co:Helm
Co:Helm
AI Prior Authorization for Payers
Prior Authorization
Co:Helm is a generative AI platform for payer organizations, providing a co-pilot dashboard to empower UM nurses to get all of the right data summarized and presented so they can make the right decision faster.
CodaMetrix logo
CodaMetrix
CodaMetrix
AI Medical Coding
Medical Coding
CodaMetrix is an AI medical coding platform for multiple specialties, particularly in radiology and pathology, within large healthcare systems. The platform uses NLP and machine learning to translate clinical notes into accurate billing and diagnostic codes.
Cohere Health logo
Cohere Health
Cohere Health
AI Prior Authorization for Payers
Prior Authorization
Cohere Unify Platform helps health plans to streamline the prior authorization process using automation and AI.
CollaborateMD logo
CollaborateMD
CollaborateMD
End-to-End Revenue Cycle Management
CollaborateMD offers practice management and billing software for small to mid-sized practices.
Conifer Health Solutions logo
Conifer Health Solutions
Conifer Health Solutions
End-to-End Revenue Cycle Management
Population Health Data and Analytics
Care Gap and Contract Performance Analytics
Care Navigation
Care Management
Conifer Health Solutions provides revenue cycle management services and value-based care solutions for health systems, provider groups and employers to improve financial outcomes.
CorroHealth logo
CorroHealth
CorroHealth
AI Medical Coding
Medical Coding
CorroHealth is a provider of revenue cycle management solutions and analytics.
CoverMyMeds logo
CoverMyMeds
CoverMyMeds
Prior Authorization
CoverMyMeds helps automate prior authorization for medications, connecting healthcare networks to improve patient medication access.
Decoda Health logo
Decoda Health
Decoda Health
AI Conversational Chat
Patient Billing and Collection
Decoda Health is an AI-enabled patient billing and communications platform with a unified dashboard for centralized patient interactions and automated billing and invoicing.
Develop Health logo
Develop Health
Develop Health
AI Prior Authorization for Providers
Eligibility Checking
Prior Authorization
Develop Health is an AI-enabled eligibility checking and prior authorization platform for medication that automatically calls payers to get benefits details, verifies clinical documentation against plan criteria, and automates form-filling across payer portals for faster authorization.
EIQ logo
Ensemble Health Partners
EIQ
End-to-End Revenue Cycle Management
AI RCM
EIQ by Ensemble Health Partners is a cloud-based, analytics-driven workflow tool for end-to-end RCM.
Eligible logo
Eligible
Eligible
Eligibility Checking
Eligible is an insurance billing API platform that enables eligibility checks, insurance verifications, real-time cost estimations, claims filing, and accessing insurer information.
Ethermed logo
Ethermed
Ethermed
AI Prior Authorization for Providers
Prior Authorization
Ethermed is an AI-enabled prior authorization solution that helps determine authorization status, pulls clinical documentation, and automatically fills and submits requests for providers.
Experian Health Prior Authorization logo
Experian
Experian Health Prior Authorization
Prior Authorization
Experian Health's Prior Authorization enables the management of prior authorizations for providers, handling inquiries and submissions automatically. It connects to a comprehensive database that regularly updates with national and local payer requirements, ensuring that users have access to the most current information.
Experian Insurance Verification logo
Experian
Experian Insurance Verification
Eligibility Checking
Experian Insurance Verification automates eligibility and coverage checks for providers.
EZClaim logo
EZClaim
EZClaim
End-to-End Revenue Cycle Management
EZClaim is a medical billing platform with features like electronic billing, eligibility verification, and reporting, tailored for small to medium-sized healthcare providers and billing companies.
Fairway Health logo
Fairway Health
Fairway Health
Prior Authorization
Fairway Health is an AI assistant designed for health insurers to expedite the prior authorization process for patient treatments. The platform uses large language models (LLMs) to analyze extensive and complex medical records, determining patient eligibility for specific treatments.
FastAuth logo
FastAuth
FastAuth
Prior Authorization
FastAuth is a prior authorization platform that helps automate patient insurance eligibility and approval.
Gentem logo
Gentem
Gentem
End-to-End Revenue Cycle Management
AI Billing
Gentem is revenue cycle management software that helps automate medical billing and payment processes for providers.
Glidian logo
Glidian
Glidian
Prior Authorization
Glidian is prior authorization platform focused on interoperability between providers and payers. It supports integration methods including manual entry, X12 278, HL7, CSV, and API for prior authorization submissions, and consolidates all authorizations in a single dashboard for real-time status updates.
Health Harbor logo
Health Harbor
Health Harbor
Eligibility Checking
Payer-Facing AI Phone Calls
Health Harbor is an AI agent that calls insurance companies for eligibility and claim status checks.
HealthMe logo
HealthMe
HealthMe
Patient Billing and Collection
HealthMe is a revenue platform designed for medical practices to offer direct-pay options to patients and employers.
Inbox Health logo
Inbox Health
Inbox Health
Patient Billing and Collection
Inbox Health is a patient billing platform designed to automate and personalize the billing process for medical practices. It offers features like AI-optimized billing cycles and customizable messaging via email, text, paper mail, and voice calls.
InstaMed logo
InstaMed
InstaMed
Patient Billing and Collection
InstaMed offers digital patient payment solutions for healthcare providers.
Iodine Aware CDI logo
Iodine Software
Iodine Aware CDI
AI CDI
CDI
Iodine Aware CDI improves clinical documentation accuracy and efficiency, aiming to reduce revenue leakage in healthcare systems.
Kode Health logo
Kode Health
Kode Health
Medical Coding
Kode Health is an on-demand medical coding platform that connects healthcare providers with certified, on-demand medical coders. Healthcare providers utilize Kode Health to address workflow and staffing fluctuations by accessing their network of coders through their coding platform that also integrates with EHR systems.
Latent logo
Latent
Latent
AI Prior Authorization for Providers
Prior Authorization
Latent uses AI to streamline specialty pharmacy and infusion prior authorization for hospitals and clinics.
Maverick Medical AI logo
Maverick Medical AI
Maverick Medical AI
AI Medical Coding
Medical Coding
Maverick is an AI-powered autonomous medical coding platform.
maxRTE logo
MaxRTE
maxRTE
Eligibility Checking
MaxRTE provides insurance verification software to assist with real-time eligibility and insurance discovery.
MedEvolve logo
MedEvolve
MedEvolve
End-to-End Revenue Cycle Management
MedEvolve is an RCM provider, with services include medical billing, patient financial engagement, and practice management software.
Mend logo
Mend
Mend
Patient Engagement
Patient Scheduling
Patient Billing and Collection
Telehealth Platform
Mend is a front-office and telehealth platform that offers features like automated patient payments, HIPAA-compliant virtual visits, digital intake forms, group video conferencing and scheduling, telepsychiatry software, and integration with electronic health records and practice management systems
Myndshft logo
Myndshft
Myndshft
AI Prior Authorization for Providers
Prior Authorization
Myndshft helps automate prior authorizations for acute and post-acute services, imaging labs, and diagnostics and genomics labs. The product uses a library of payer rules and an AI-enabled system that updates the workflow and rules engines based on previous prior authorization requests.
NexHealth logo
NexHealth
NexHealth
EHR Integration
Patient Engagement
Patient Scheduling
Patient Intake
Patient Billing and Collection
Secure Patient Communications
NexHealth offers both an EHR integration platform (NexHealth Synchronizer) to enable pulling or pushing data to EHRs, as well as a patient engagement suite built on the Synchronizer that offers scheduling, patient communications, forms, and payments.
Nirvana logo
Nirvana
Nirvana
Eligibility Checking
Nirvana Health offers real-time mental health insurance verification and cost estimates via both API and web UI.
Office Ally logo
Office Ally
Office Ally
End-to-End Revenue Cycle Management
Claims Clearinghouse
Office Ally enables healthcare providers to submit electronic claims to payers, and has features like claim scrubbing, status tracking, and integration with various practice management systems.
PatientPay logo
PatientPay
PatientPay
Patient Billing and Collection
PatientPay facilitates patient billing through digital payments, supporting multiple payment methods including card, mobile, electronic checks, as well as payment plans.
PayGround logo
PayGround
PayGround
Patient Billing and Collection
PayGround is a payments platform designed to automate patient billing and payment processes, with features like EHR/PM integration and automated payment reminders.
Phare Health logo
Phare Health
Phare Health
AI Medical Coding
Medical Coding
Phare Health is a developer of AI technology addressing revenue cycle management functions such as medical coding.
Pledge Health logo
Pledge Health
Pledge Health
Eligibility Checking
Patient Billing and Collection
Pledge Health offers an automated patient billing and payments platform, focusing on insurance benefit verifications, patient cost estimates, patient statements, and payment processes to enhance the financial experience for both healthcare providers and their patients
pMD logo
pMD
pMD
End-to-End Revenue Cycle Management
pMD offers integrated healthcare solutions that enhance care delivery and practice efficiency, featuring mobile charge capture, telehealth, and revenue cycle management services
R1 logo
R1
R1
End-to-End Revenue Cycle Management
R1 RCM offers a revenue cycle management platform for hospitals and healthcare systems across payment models, patient engagement strategies, or settings of care.
Raxia logo
Raxia
Raxia
Patient Billing and Collection
Raxia automates patient accounts receivable processes, enhancing efficiency and patient engagement through personalized digital experiences.
Regard logo
Regard
Regard
AI Clinical Summaries
AI CDI
CDI
Regard is an AI clinician assistant platform that is embedded in the EMR and summarizes patient data, generates clinical notes, and suggests diagnoses.
Relatient logo
Relatient
Relatient
Patient Engagement
Patient Scheduling
Patient Billing and Collection
Relatient combines online self-scheduling, real-time chat, digital registration, personalized communication, and mobile billing to improve healthcare accessibility and patient experience.
Revspring logo
Revspring
Revspring
Patient Engagement
Patient Billing and Collection
RevSpring provides advanced financial communications and payment solutions that leverage data-driven insights to personalize patient engagement and optimize payments. Key offerings include the PersonaPay system for managing patient payments, and Talksoft Patient Engagement Messaging Suite.
Rhyme logo
Rhyme
Rhyme
Prior Authorization
Rhyme Health streamlines prior authorization by connecting EHR systems and insurance carriers for faster submission and approval.
Rivet logo
Rivet
Rivet
Eligibility Checking
Risk Modeling
Rivet Health offers products for managing payer contracts, GFEs and patient responsibility estimates, and underpayment resolution.
Rivet Patient Pricing logo
Rivet
Rivet Patient Pricing
Patient Price Estimation
Patient Billing and Collection
Rivet Patient Pricing generates accurate patient cost estimates in compliance with the No Surprises Act, allowing patients to see their deductible and out-of-pocket costs, then pay them upfront.
Rivet Revenue Diagnostics logo
Rivet
Rivet Revenue Diagnostics
Revenue Intelligence
Rivet Revenue Diagnostics offers visibility into financial health by forecasting revenue and cash collections more accurately. It integrates with EHR and practice management systems, using historical and contracted rates to provide granular metrics and dynamic reporting.
RoyalPay logo
Royal Solutions
RoyalPay
Patient Billing and Collection
RoyalPay Patient Payments is a patient billing solution that offers clean order receipts, instant eligibility checks to boost time-of-service collections.
RxLightning logo
RxLightning
RxLightning
Prior Authorization
RxLightning is a prior authorization platform that automates and simplifies the onboarding process for specialty medications. It provides healthcare providers with tools to complete patient enrollment forms, conduct benefit checks, manage prior authorizations, collect consents, and access patient assistance programs.
SamaCare logo
SamaCare
SamaCare
AI Prior Authorization for Providers
Prior Authorization
SamaCare is prior authorization platform primarily for buy-and-bill drugs, but can also be used for imaging and select procedures. The platform automates form-filling in payer portals, schedules reminders and auto-renewals, and identifies actions to speed up authorizations and reduce denials.
Semantic Health logo
Semantic Health
Semantic Health
AI CDI
CDI
Semantic Health is an AI CDI platform that reviews all coded data before billing, assessing and validating the accuracy and completeness of medical codes from clinical documentation.
Sift Patient Payments logo
Sift Healthcare
Sift Patient Payments
Patient Billing and Collection
Sift Healthcare's Patient Payments Management system uses AI to optimize the revenue cycle by predicting patient payment behaviors. It offers advanced analytics to determine who will pay, when, and the best methods and frequency for contact. This includes structuring payment plans and identifying charity qualifications.
Sift Rev/Track logo
Sift Healthcare
Sift Rev/Track
Revenue Intelligence
Rev/Track provides AI-powered reporting for RCM with interactive dashboards and detailed reports of payment behaviors, insurance denials, collection trends, and strategy performance.
Silna logo
Silna Health
Silna
AI Prior Authorization for Providers
Prior Authorization
Silna uses AI to streamline prior authorizations, benefits and eligibility checks for therapists.
SimiTree logo
SimiTree
SimiTree
End-to-End Revenue Cycle Management
SimiTree RCM provides tech-enable medical billing for post-acute and behavioral health organizations.
Sohar Health logo
Sohar Health
Sohar Health
Eligibility Checking
Sohar Health enables eligibility verification and AI-powered medical coding for behavioral health providers.
Square logo
Square
Square
Patient Billing and Collection
Square is a secure payment processing platform, offering both web products and APIs to enable payments, including patient payments and subscriptions.
Steer logo
Steer Health
Steer
Patient Engagement
AI Conversational Chat
Patient Billing and Collection
Telehealth Platform
Steer Health is a digital front door solution with features including patient acquisition, AI-powered scheduling, registration and patient intake, referral management, and automated post-visit follow-ups.
Stripe logo
Stripe
Stripe
Patient Billing and Collection
Stripe is a secure payment processing platform, offering both web products and APIs to enable payments, including patient payments and subscriptions.
Synaptec Health logo
Synaptec Health
Synaptec Health
AI Medical Coding
Medical Coding
Synaptec Health is an AI-enabled medical coding product for automatically processing patient encounters.
Trek Health logo
Trek Health
Trek Health
End-to-End Revenue Cycle Management
Trek Health is a revenue cycle management provider, enabling payer enrollment and claims submission, with the ability to do instant payments for claims.
Trizetto logo
TriZetto
Trizetto
End-to-End Revenue Cycle Management
Claims Clearinghouse
TriZetto RCM aims to optimize financial outcomes for healthcare providers by handling billing processes and enhancing payment accuracy.
Trucare Billing logo
Trucare Billing
Trucare Billing
End-to-End Revenue Cycle Management
Credentialing, Licensing, and Enrollment
Trucare Billing provides medical billing services, including revenue cycle management, practice management, and credentialing for telehealth and private practice.
Turquoise Health Instant GFE logo
Turquoise Health
Turquoise Health Instant GFE
Patient Price Estimation
Turquoise Health's Instant GFE (Good Faith Estimate) tool helps providers generate accurate cost estimates for patients in compliance with the No Surprises Act. It allows for instant creation, calculation, and sharing of estimates, incorporating facility and physician fees.
Valer Health logo
Valer Health
Valer Health
Prior Authorization
Valer Health's Prior Authorization solution is designed to reduce the time and effort typically required for managing prior authorizations by eliminating manual processes. It automates submissions and status checks through a single platform that integrates with the EHR and practice management system.
Vantage Health logo
Vantage Health AI
Vantage Health
Patient Billing and Collection
Vantage Health offers solutions to enhance the patient financial experience, with features like consolidated bills from all encounters and departments, personalized messages and timing, and modeling to determine likelihood of patient payment versus collections.
Walnut logo
Walnut
Walnut
Patient Billing and Collection
Walnut provides a modern patient payment platform for healthcare practices, offering digital checkouts that accept cards, ACH, Apple Pay, and Google Pay. The platform automates post-visit billing and patient engagement, reducing administrative work and increasing revenue.
Wendi logo
Wendi
Wendi
Patient Engagement
Eligibility Checking
Wendi is an AI-powered digital assistant for patient engagement from initial contact through scheduling and eligibility checking.