Allied Benefit Systems Eligibility​: A Quick Step-by-Step Guide

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May 7, 2025
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Did you know that Allied Benefit Systems offers immediate access to member claims and eligibility status through their Provider FastTrack tool? This efficiency-boosting feature is transforming how healthcare providers verify patient coverage.

For medical offices handling multiple allied benefits patients daily, verifying insurance eligibility is crucial to avoiding claim denials and payment delays. The Allied Benefit Systems insurance eligibility verification process allows providers to quickly check member status, view benefit information, and access Explanation of Benefits (EOB) statements. Additionally, providers can verify claim status, including CPT codes and ICD-10 codes when needed. As a national healthcare solutions company, Allied Insurance Company focuses on supporting healthy workplace cultures while optimizing plan performance through data-driven, member-focused solutions.

This step-by-step guide will walk healthcare providers through the process of checking eligibility through the Provider FastTrack system, helping to streamline administrative workflows and improve patient service. For those who need assistance during the process, Allied's customer support team is available at 800-288-2078 to provide guidance.

Step 1: Access the Allied Provider Portal

The first step toward checking eligibility through Allied Benefit Systems requires accessing their dedicated provider portal. This secure gateway serves as the foundation for all subsequent verification activities.

Go to the official Allied Benefit Systems website

To begin the eligibility verification process, healthcare providers must first navigate to the official Allied Benefit Systems website. The portal functions as an online platform specifically designed to give healthcare providers efficient access to patient eligibility, benefit information, and claim statuses. Once on the homepage, providers will notice a clean interface with various account options displayed prominently. This digital realm offers immediate entry into a world where administrative resources are optimized for enhanced service delivery.

Choose 'Provider' as your account type

Upon reaching the Allied website, users will see several account type options. To proceed, specifically select the 'Provider' option from the available choices that include Member, Employer, Benefits Consultant, and Administrator. This selection ensures access to the provider-specific features and tools. Choosing the correct account type is crucial as it determines which resources and capabilities become available during your session. The provider selection opens the pathway to the comprehensive suite of verification tools designed exclusively for healthcare professionals.

Log in or register for a new account

After selecting the provider account type, existing users can simply enter their account number and password to gain immediate access. First-time users, however, must complete the registration process. To register for a new account, providers need several key pieces of information:

  • Organization or individual provider name
  • Tax Identification Number (TIN)
  • An Allied processed claim number and the claim date of service
  • User information, including phone number and email address

Notably, if you don't yet have an Allied claim number and service date, you can still proceed with registration. The system allows you to skip entering that information initially and update your Website Account Settings once you have a processed claim. For active providers working with Allied Benefit Systems health plans, registration grants access to valuable online tools, including eligibility verification, deductible and out-of-pocket information, ID card images, and various self-service forms.

Once registered, the system presents a dashboard that serves as the operational hub for managing patient data, claims, and payments. Furthermore, if users encounter login difficulties or forget their account number, Allied's customer support team can be reached at 800-288-2078 for assistance.

Step 2: Navigate to the FastTrack Eligibility Tool

After successfully logging into the Allied Benefit Systems portal, providers need to locate and utilize the FastTrack tool to check eligibility. This secure web-based system serves as a central hub for accessing critical patient information.

Locate the FastTrack section on the dashboard

Once logged in, the provider dashboard displays various options for account management. The FastTrack section appears prominently on this interface, designed to give healthcare professionals quick access to patient information. As a powerful feature of the Allied Benefit Systems platform, FastTrack eliminates the need for time-consuming phone calls or faxes to verify coverage details. The system was created with efficiency in mind, allowing providers to immediately access crucial patient information regardless of whether they've registered for a full-featured account.

Click on 'Eligibility and Claims Status Inquiry'

Within the FastTrack section, look for the 'Eligibility and Claims Status Inquiry' option. Upon selecting this feature, the system will direct providers to a secure interface where they can enter specific patient details. The Allied Insurance Company designed this tool specifically for streamlined verification processes. Even without registering for a comprehensive account, providers can utilize FastTrack's basic features, though full registration unlocks more powerful capabilities.

Understand the tool's capabilities

The FastTrack system offers comprehensive eligibility verification features that extend beyond basic coverage confirmation. Through this tool, providers can:

  • Access plan documentation and policy information
  • Verify member eligibility status in real-time
  • View detailed member benefits and coverage information
  • Access Explanation of Benefits (EOB) statements
  • Check the member's claims status

These capabilities enable healthcare providers to make informed decisions about patient treatment options based on their specific coverage. The Allied Benefits system was engineered to simplify the often complex process of insurance verification. Consequently, medical offices can reduce claim denials and payment delays by confirming eligibility details before providing services. The Allied Benefit Systems insurance eligibility verification process through FastTrack provides immediate answers to coverage questions that might otherwise require multiple communications with insurance representatives.

Step 3: Enter Required Member and Provider Information

Proper data entry forms the cornerstone of successful eligibility verification through Allied Benefit Systems. Once you've accessed the FastTrack tool, accurately entering the required information ensures you receive correct eligibility determinations and claims status.

Input subscriber and member details

The FastTrack system requires specific subscriber information to process eligibility inquiries effectively. First, enter the subscriber's Social Security Number (SSN) or User Identification (UID) without hyphens. Next, input the group number exactly as it appears on the front of the member's ID card. This number serves as a critical identifier that connects the member to their specific benefit plan.

For member information, enter the following required fields:

  • First name only (not the full name)
  • Date of birth in mm/dd/yyyy format
  • Gender selection (male/female)

Enter provider credentials accurately

Subsequently, the system requires precise provider information. The primary credential needed is the Provider Taxpayer Identification Number (TIN), which must be entered without hyphens. This unique identifier helps Allied Benefit Systems match the inquiry to the appropriate healthcare provider in their system.

Throughout this process, always use the payer ID shown on the member's ID card. Moreover, providers should ensure all organizational details are entered completely and accurately to avoid verification hindrances later in the process.

Ensure data matches the member ID card

Above all, the information entered must precisely match what appears on the member's ID card. The ID card serves as the authoritative source for verification data because:

  • It contains the official proof of health insurance coverage
  • Healthcare providers use this information to confirm eligibility
  • The member ID number allows providers to verify coverage and file claims
  • These numbers help Allied advocates answer benefits and claims questions

Particularly note that any discrepancies between entered information and what appears on the ID card may result in inaccurate eligibility determinations. Therefore, having the physical card or a digital copy available during data entry is highly recommended for reference purposes.

Step 4: Review Eligibility and Claims Information

Once the required information has been submitted, the FastTrack system displays comprehensive member data that enables providers to make informed decisions. Upon reviewing the returned results, providers can analyze several crucial aspects of patient coverage.

Check member eligibility status

After processing the submitted details, the FastTrack system immediately confirms whether the member has active coverage under an Allied Benefit Systems plan. The verification screen displays the member's current eligibility status and enrollment dates. According to the Summary of Benefits and Coverage (SBC), members typically face different cost structures based on in-network versus out-of-network care. For instance, the overall deductible might be USD 500 for an individual or USD 1000 for a family.

View benefit coverage and plan details

Next, providers can examine detailed plan information to understand what services are covered. The system displays essential financial information such as:

  • Deductible amounts and current status
  • Out-of-pocket limits (typically USD 3500 per person/USD 7000 per family for in-network providers)
  • Coinsurance percentages and copayment requirements
  • Coverage limitations or exclusions

The FastTrack portal likewise shows which services might be covered before a patient meets their deductible, such as in-network preventive care, routine vision services, and certain diagnostic tests.

Access Explanation of Benefits (EOB)

Allied Benefit Systems offers two primary methods for accessing EOB documents. First, when a claim is processed, the system sends an automated email notification from AlliedEOBNotification@alliedbenefit.com. To view these documents:

  1. Click "Login to View Your EOB" in the email
  2. Log in to the Allied Member Portal
  3. Select "View" or "Download" on the Electronic EOB page

Alternatively, EOBs can be accessed anytime through the portal by selecting "Claims" from the navigation bar, configuring display options, then clicking "View EOB" for the desired claim.

Verify claim status and CPT/ICD-10 codes if needed

Finally, providers can verify detailed claim information, including submitted CPT and ICD-10 codes. For claim status inquiries, the system requires the date of service in mm/dd/yyyy format. The portal then displays claim processing status, payment information, and any applicable adjudication details. This verification system gives providers immediate insight into whether claims were processed correctly or if additional information might be needed for resubmission.

Conclusion

Verifying insurance eligibility stands as a critical step in the healthcare billing process. Therefore, mastering the Allied Benefit Systems verification process significantly reduces claim denials and payment delays. Healthcare providers who follow the steps outlined above will undoubtedly streamline their administrative workflows while improving overall patient service.

The Provider FastTrack tool essentially transforms what was once a time-consuming verification process into a quick, efficient procedure. Most importantly, this system gives immediate access to crucial information such as member eligibility status, benefit details, and claims information—all in one centralized location.

Accurate data entry certainly makes the difference between successful verification and potential billing complications. Consequently, providers should always ensure that member information matches exactly what appears on ID cards, particularly regarding identification numbers and group codes.

Finally, the comprehensive nature of Allied's FastTrack system allows healthcare professionals to make informed decisions about patient care based on real-time eligibility data. Though the verification process might seem detailed at first, the time saved through electronic verification ultimately contributes to more efficient practice management and improved financial outcomes for healthcare providers working with Allied Benefit Systems.

FAQs

Q1. What type of company is Allied Benefit Systems? 

Allied Benefit Systems is a national healthcare solutions company that provides health insurance plans and supports healthy workplace cultures through data-driven, member-focused solutions.

Q2. How can I find my Member ID for Allied Benefit Systems? 

Your Allied Benefit Systems Member ID is located on the front of your ID card, directly below your name. When entering your Member ID for verification purposes, be sure to include all characters listed.

Q3. Does Allied Benefit Systems offer a mobile app for members? 

Yes, Allied Benefit Systems offers the My Allied Portal app for members. This app allows you to easily access and manage your healthcare benefits, track spending, and monitor progress toward meeting your deductible and out-of-pocket maximum.

Q4. How do I access my Explanation of Benefits (EOB) from Allied Benefit Systems? You can access your EOB through two primary methods: by clicking the "Login to View Your EOB" link in the automated email notification sent when a claim is processed, or by logging into the Allied Member Portal and selecting "Claims" from the navigation bar.

Q5. What information do I need to check eligibility through Allied Benefit Systems' FastTrack tool? 

To check eligibility, you'll need the subscriber's Social Security Number or User Identification, the group number from the member's ID card, the member's first name, date of birth, gender, and the Provider Taxpayer Identification Number (TIN). Ensure all information matches exactly what appears on the member's ID card.

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