Insurance verification and eligibility

Practices collect upfront patient/insurance information at the time patient visits the provider and the same information is keyed into the charge ticket or appointment sheet but sometimes front office typo errors and wrong information provided by the patient can lead all current and future claims to denials. Sometimes these denials are caught untimely which can impact the revenue of your practice. It's difficult for a practice to work on such denials along with patient care and other tasks. Outsourcing such task is the key to solution in today's time, which help you understand the trend of errors and develop a right pathway for your practice.
Also, having correct knowledge of patient benefits and out of pocket can ensure to collect right amount from the patient and patient billing, which improves overall revenue and patient satisfaction.
To help practices overcome such challenges we offer insurance verification and eligibility process.
The process is conducted into three stages -
1. Patient demo and insurance data are verified from the automated eligibility and verification system. Any information that system don't find matching with carrier or incomplete will be rejected and analyst will review and correct such errors.
2. Any patient/insurance information which automated system can't verify will be queued to be verified manually by the analyst, who will call patient/insurance to validate correct information.
3. Patient benefit verification is carried out using insurance's website or calling to ensure the accurate information of patient out of pocket and availability of benefits so that provider can receive correct reimbursement.
Get in touch with us, in case your practicing is looking for help to deal with patient eligibility and verification challenges.