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Expert Support to Navigate IVF Verifications and Authorizations
Due to these differences, verifying a patient’s specific coverage for expensive IVF treatment requires a detailed review of their plan documents.
We provide comprehensive IVF insurance verification and authorization services for fertility clinics. With our support, you can obtain the most accurate and up-to-date information about the patient’s coverage for IVF. Our team will verify coverage and benefits in advance of the office visit, so that your patients can make informed decisions.
Empower Your Patients and Improve Workflow with Real-time Insurance Verifications
Verification of Patient Benefits
Our team will verify demographics, social security number, the name of the insurance carrier, type of plan, and other specifics of the patient’s coverage, benefits, and policy status. Our robust process helps identify if the plan covers IVF, medical/pharmacy infertility benefits, and out-of-pocket costs. We confirm these aspects with the payer before the office visit.
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Authorizations
Out-of-network services and many fertility medications require prior authorization from the insurance company. IVF medications cannot be started without obtaining a prior authorization. We help you overcome the administrative hassles, submit these pre-approval requests, and obtain authorizations from payers quickly, preventing treatment delays.
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Coding
Accurate claim submission depends on reporting services correctly. For pre-approvals, the requested services should have appropriate CPT code and diagnosis with the right ICD-10 code. After you provide IVF services, our
expert coding team assigns the appropriate medical codes, preventing denials and ensuring you receive appropriate reimbursement.
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Key Benefits of Partnering with OSI
Live Calls
Open communication
Expertise
We serve all 50 states
Why Choose OSI?
Dedicated team of insurance verification experts
How Our Insurance Eligibility Verification Process Works
1
Patient Intake and Data Collection
The first step is collecting patient personal and insurance details during registration. This includes capture of details such as full name, address, date of birth, contact information, and insurance card data.
Detailed Insurance Verification
Pre-Authorization Support
Our experts assist you with submitting all necessary documentation for insurance pre-approval. They also help you navigate administrative processes to reduce burdens and secure approvals. They will also proactively manage appeals when required.
Patient Communication
Our team works with your practice to inform patients of the insurance verification results, including their financial responsibilities. When patients understand their coverage details and out-of-pocket costs, they can plan better for their treatment.
Comprehensive Documentation
The final step is updating the patient’s electronic medical record or your practice management system with verified insurance data. Integrating the coverage information into the patient’s treatment plan avoids disruptions.
Flexible Pricing Options for Insurance Verification and Authorization Services
Full-Time Equivalent
AR is only FTE
In this model, you will be charged a fixed monthly or annual fee based on the number of full-time equivalent staff required to manage your practice’s AR follow-up activities. We are also considering a blended model for AR.
FAQs
Why is IVF insurance verification important?
How long does the verification process take?
Can you help with pre-authorization for IVF procedures?
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