21+
Years of Experience
500+
Save Time with Our Insurance Verification Services
Insurance eligibility verification is one of the first steps in the medical billing process. Failing to perform this step can result in unpaid or denied claims. Our team confirms patients’ coverage before their appointment, providing you with instant access to their insurance coverage information.
Benefits of Our Insurance Eligibility Verifications
- Ensures smooth navigation of insurance-related processes
- Online verifications
- Hassle free services provide more time to focus on care
- Accurate coverage checks avoids costly rework
- Reduces claim denials and improves cash flow
- Improves point-of-service collections and decreases accounts receivable
- Enhances the patient experience with upfront cost transparency
- Fosters compliance with insurance billing requirements
How Our Patient Insurance Eligibility Service Works
1
Patient Information
Collection
Verifications
Updates
& Follow-up
Management
Collecting Patient Information
During the patient registration process, we collect basic demographic information on a patient, including name, birth date, and the reason for a visit. Insurance information is also collected, including the name of the insurance provider and the patient’s policy number.
Verifications
- Plan type and policy number
- Effective dates of coverage
- Deductibles, co-pays, and co-insurance
- Benefit limits and exclusions
- Referral and authorization requirements
- Network participation status
In addition to using insurance websites and portals, our experts confirm insurance plan details with the payer via phone.
Updating the Practice Management System (PMS)
The verified insurance information is updated in the patient’s electronic medical record or in the practice management system. This ensures quick access to accurate information when verifying coverage, minimizes errors, and supports billing processes.
Tracking, Reporting & Follow-Up
Stat Requests Management
When you need urgent verification, submit a stat request through our user-friendly portal. Our staff instantly processes the request, accessing up-to-date insurance databases or calling up the company to verify coverage details in real-time. Within moments, you’ll receive comprehensive information about the patient’s coverage details, allowing you to schedule appointments, order procedures, or resolve other patient access issues without delay.
Unique Benefits of Partnering with Us
Live calls
Open communication
Experience & Expertise
Update Your EMR
We serve all 50 states
Flexible and Affordable Pricing Plans
Full-Time Equivalent
In this model, services are billed based on the equivalent cost of a full-time employee (FTE) for a specified duration, usually monthly or annually.
Fixed Cost Pricing
Like an FTE model, a person is dedicated to your practice. Perfect for a practice that is busy. They work as an extension to your business.
Per Transaction Pricing
This option is ideal for a practice that is unsure about their work requirements. This can have per request pricing for eligibility and other functions.
FAQs
What does insurance verification mean?
Why is insurance eligibility verification important?
What is eligibility verification?
What services do you offer?
What if your Practice Management software doesn’t interface with my EMR?
What are the benefits of outsourcing insurance verification to your company?
Outsourcing insurance verification to us offers several benefits:
- Reduces the administrative burden on your staff
- Improves accuracy and efficiency in insurance processing
- Allows your team to focus on patient care
- Decreases overhead costs associated with in-house verification
Can you handle verifications for multiple insurance providers?
What if a patient’s insurance coverage cannot be verified?
How long does the insurance verification process take?
What are eligibility verification best practices?
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