Patient Eligibility Verification
Physicians need to verify each patient’s eligibility and benefits to ensure they will receive payment for services rendered. Our focus is on preventing denials and avoiding delays in payment, which will boost revenue at time of service, save time on the back end, and also enhance patient satisfaction.
Our health specialist Team will confirm the following patient benefits on each date of service:
- Demographic data – if the information on the insurance identity card is up to date and correct for that date of service
- Coverage – whether the patient has valid coverage on the date of service
- Benefit options – patient responsibility for copays and coinsurance
- Prior authorization requirements – confirming authorization for treatment from appropriate sources, if applicable
Our medical eligibility verification services will:
- Eliminate the need for tedious in-house verification processes
- Free up your staff for other tasks
- Minimize bad debt
- Increase cash collection
- Reduce billing errors and denials
- Improve patient satisfaction
- Save 30-40% on your operational costs
Our comprehensive verification process involves the following steps:
- Receiving patient schedules from the hospital or clinic
- Demographic information entry or update
- Verifying coverage on all primary and secondary payers
- Confirming authorization for treatment from appropriate sources, if applicable
- Updating the billing system with the verified details