100+
Satisfied Clients
30%
Practice Revenue Rise
99%
Collection Rate
OSI – Your Trusted Partner for Oral & Maxillofacial Surgery Insurance Verification
We offer our expertise in streamlining services related to insurance verification, precisely tailored to the needs of oral & maxillofacial surgeons.
With more than two decades of experience and a clear understanding of the intricacies involved in healthcare insurance, we ensure that the challenging task of oral & maxillofacial surgery insurance verification is made easy, while you focus on delivering excellent care to your patients.
Our Expertise
Insurance Verification
We verify the patient’s insurance coverage, eligibility, and benefits to ensure timely payments and avoid claim denials.
- Improved RCM
- Faster Reimbursement
- Reduced Billing Errors
AR Management
We efficiently manage the payments due to you from payers and patients for services provided, and thus sustain regular cash flow.
- Improved Cash Flow
- Better Financial Planning
- Enhanced Decision Making
We understand the complexities involved in oral & maxillofacial insurance, including various policy details and coding structures. Our team is well-versed in navigating these complexities, making sure that all aspects of a patient’s coverage–from diagnostic to surgical procedures–are promptly verified. Our proficiency in the industry makes it possible for us to mitigate delays and maximize approvals.
We’re experienced in working with advanced software options such as –
Ortho & Oral
Why Insurance Verification Is Necessary for Oral & Maxillofacial Surgery
Insurance verification is essential for oral & maxillofacial procedures, owing to the complex structure of coverage for specialized surgeries involved. Clear and prompt verification enables faster claims processing and reimbursement. Insurance verification also helps prevent billing errors and claim denials by confirming the patient’s eligibility and coverage details beforehand. Failing to verify insurance can lead to delayed treatments, out-of-the-pocket expenses for patients, and revenue loss for medical practices.
Outsourcing can simplify the verification process and reduce the burden on in-house staff. Our verification services ensure that your patient’s coverage aligns with the necessary medical procedures – eliminating the risk of claim denials and unforeseen expenses.
Outsourcing ensures that verification is performed on time, so that claims are processed faster and you receive the due reimbursement on time.
We serve all 50 states
Our Streamlined Verification Process
We realize the significance of timely and accurate insurance verification for both practices and patients. So, we have a standardized procedure in place, streamlining the process and eliminating any chance of errors. Our process involves:
1
Collecting insurance
information
information
Obtaining
pre-authorizations
pre-authorizations
4
2
Verification of
coverage status
coverage status
Documentation of
verified information
verified information
5
3
Confirming coverage
with the payer
with the payer
Follow-up on any
denied claims
denied claims
6
1
Collecting insurance information
2
Verification of coverage status
3
Confirming coverage with the payer
4
Obtaining pre-authorizations
5
Documentation of verified information
6
Follow-up on any denied claims
Benefits and Services for Your Practice
Insurance verification is essential for oral & maxillofacial procedures, owing to the complex structure of coverage for specialized surgeries involved. Clear and prompt verification enables faster claims processing and reimbursement. Insurance verification also helps prevent billing errors and claim denials by confirming the patient’s eligibility and coverage details beforehand. Failing to verify insurance can lead to delayed treatments, out-of-the-pocket expenses for patients, and revenue loss for medical practices.
Prior Authorization Management
We take care of all necessary pre-auth processes required for complex medical procedures.
Appeals Assistance
During claim denials, we offer expert guidance through every step of the process.
Policy Explanation
We provide a clear and simple explanation of the benefits of insurance to your patients.
Continued Support
Our expert team will be on standby to address any insurance-related issues throughout the treatment process.
Benefits:
By choosing OSI, you will enjoy several advantages:
Precise Coverage Verification
Gain an understanding of what’s exactly covered under the plan before the treatment begins, reducing financial surprises.
Increased Revenue
With our accurate verification, you will now encounter lesser claim denials and delays, keeping your revenue stream positive and predictable.
Optimized Workflow
By collaborating with us, your administrative team will be relieved of the insurance burden, allowing them to focus on where it actually matters.
Improved Patient Care
Prompt communication about the insurance and related costs ensures patients feel updated and confident regarding their care.
What Sets Us Apart
Partner with us for the insurance verification that goes above and beyond—we provide peace of mind. Here’s what separates us from others in the field:
Comprehensive coverage analysis
A dedicated project manager
Regular QA and reports
Technology driven efficiency
Cost savings of 30-40%
Dedicated support
Affordable & Flexible Pricing Plans
With our clear pricing and flexible packages, you can improve your dental insurance verification process affordably. Reduce administrative hassles and welcome efficiency with our skilled team supporting you.
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.
Per Verification Billing
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.
FTE/Per Verification Billing
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.
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 insurance verification critical for oral & maxillofacial surgery?
It makes sure that both the patient and practice have a consensus when it comes to the patient’s plan coverage. This eliminates denied claims and delays, unexpected costs and maintains the practice’s financial integrity.
What details are required for insurance verification?
In order to verify a patient’s insurance, details such as full name, insurance details, policy number and the list of planned treatments are necessary. Any additional information will be requested depending upon the requirements of the insurer.
How long does the process take?
The time required depends upon the complexity of the patient’s coverage and the responsiveness of the insurer. Regardless, our process ensures that most verifications are completed within 1-2 days.
How can insurance verification benefit my practice?
Prompt service can reduce the chances of claim denials, help patients understand their financial responsibilities upfront, and minimize administrative burdens on your staff. This leads to smoother operations, enhanced patient satisfaction, and more predictable revenue streams.
Does your team work on denied claims and reverifications?
Certainly. Our team of experts will work closely with your staff right from the moment of claim denial and ensure timely appeals are submitted. We also extend our services on reverification, when insurance coverage details change.