Leaders in Eligibility

Chamberlin Edmonds excels in screening patients for eligibility and obtaining remittances from federal, state and community benefit programs. Hospitals rely on Chamberlin Edmonds to:

  • Screen patients and submit applications for all types of benefits, from obscure state programs to complex federal disability programs
  • Track every application through a maze of processes and regulations
  • Obtain high rates of successful outcomes

Every day, our professionals help hospitals and their patients recover millions of dollars that would otherwise be lost. Our eligibility services include Medicaid, Supplemental Security Income (SSI), Social Security Disability Insurance Benefits (SSDIB), state disability, charity care and many other community benefit programs. We act as your patients' advocate through the entire process and complete all necessary applications at no cost to them.

Examples of the cash remittances Chamberlin Edmonds has obtained for our clients:

  • In four years, St. Charles Health System has recovered over $33 million
  • In nine years, the Denver Health has recovered over $142 million.
  • In eight years, Jackson Health System has recovered $822 million.

Chamberlin Edmonds' working knowledge of federal programs and our relationship with federal agencies differentiates Chamberlin Edmonds from our competitors. Examples of these programs are:

Title II - Social Security Disability Benefits (SSDIB)

This is a federal insurance program for individuals who have been employed under the Social Security System or who have had a spouse or family member employed under the Social Security System.

Title XVI - Supplemental Security Income Benefits (SSI)

SSI is a federally sponsored program for individuals who are disabled under the Social Security Administration regulations. Medical requirements as well as income and resource requirements must be met.

Medicare for Disabled

This is a benefit of Title II disability, which starts 29 months after the onset of disability regardless of the individual's age. We also handle application for Medicare for aged patients who are unaware of their potential eligibility.

Medicare for End Stage Renal Disease

Our nation's first catastrophic illness insurance benefit has been quite successful in assisting both patients and health care providers in the treatment of permanent renal failure. These individuals, once qualified, can receive the dialysis and/or kidney transplants needed to sustain life.

Chamberlin Edmonds works with state and community programs to obtain funding for our customers as payment for services rendered to the indigent population. We know the programs specific to each state. Examples of these programs are:

  • Medicaid
  • Medi-Cal
  • ABD (Aid to Blind & Disabled)
  • TANF (Temporary Assistance for Needy Families)
  • LIF (Low Income Family Benefits)
  • Maternal Newborn Medicaid (Pregnancy Benefits)
  • Healthy Start (Benefits for Children Under Age 19)
  • EMA (Emergency Medical Assistance)
  • Crime Victim Assistance
  • SLH (State and Local Hospitalization Program)
  • Charity Care
  • Spend Down
  • Medically Needy