The process of medical billing involves lots of intricacies and complexities. Even a single mislead can result in severe outcomes.
One such intricate aspect to handle is the improper or incorrect insurance verification that can result in claim denial in the very first step. As a result, the overall process of claim handling is delayed. Even it can keep a major part of the revenue on hold, thereby increasing the liability of patient.
We bring you the best solution! Our team of expert employees delivers skilled and incomparable services in order to perform detailed research and handle complex IVR issues with ease. These experts quickly identify the missed opportunities and even verify the information supplied by them using our retroactive and proactive scrubbing tools.
Hence, if you don’t want to engage into trouble with payments or experience any kind of delay in the payments, then it is essential that you hire an expert who can verify the information and details provided by the payers beforehand. As a result, you would be able to deliver qualitative services to your customers, without the fear of any false or delayed payments.
Key Process for Eligibility Verification
The verification of insurance eligibility is the most critical step in the medical billing procedure. Only a proper research confirms that most of the claims are genuine and does not relate to any denial or delay due to improper coverage information offered by the patients during visits. Also, if the information is not updated then this can result in problematic outcomes. With lack of improper insurance eligibility verification, there can also be a huge impact on the reimbursement.
Our Eligibility Verification Process
Our verification process involves various steps and procedures including:
- Receiving schedules of patients through direct access of FTP, emails, or PMS.
- Verify the policy coverage information provided by the patient on insurance web portals. We practice this process by using the authorized access for the portals.
- Our experts make calls to the payers on a regular and timely basis. This is done only in case of incomplete or inaccurate details provided on the portals.
- Our practice also involved updating the medical billing system with proper verification and eligibility details like group ID, member ID, co-pay, coverage period, co-insurance information, deductible information, and other benefits of code level.
- If in case we identify any issues regarding the eligibility of the patient, we provide the same information to your staff. This is done in order to ensure that your patients have a clear status before they visit you.
Our team delivers a well-researched and thorough verification process. With the help of our services we are able to support dramatic reduction in claims rejection because of inaccurate or missing insurance details. Additionally, with the help of our support and services your medical practice reimbursement process is augmented and is able to deliver your significant cost savings and lucrative results.