Insurance Eligibility Verification Services

Insurance eligibility verification services

Our comprehensive insurance eligibility verification services ensure that your practice verifies patient insurance coverage before appointments, reducing claim denials and improving cash flow. We handle the time-consuming process of contacting insurance companies to verify benefits, so your staff can focus on patient care.

Our Insurance Eligibility Verification Process

  • Pre-appointment Verification: Verification of insurance coverage 24-48 hours before scheduled appointments.
  • Benefit Confirmation: Detailed verification of covered services, co-pays, deductibles, and out-of-pocket maximums.
  • Network Status: Confirmation of in-network vs. out-of-network status.
  • Service-specific Coverage: Verification of coverage for specific procedures and treatments.
  • Prior Authorization Requirements: Identification of services requiring prior authorization.
  • Secondary Insurance: Verification of coordination of benefits for patients with multiple insurance plans.
  • Patient Responsibility Estimation: Calculation of expected patient financial responsibility.
  • Verification Documentation: Detailed documentation of all verification activities and results.

Benefits of Our Insurance Eligibility Verification Services

  • Reduced claim denials due to eligibility issues
  • Improved cash flow through accurate patient collections at time of service
  • Decreased administrative burden on front office staff
  • Enhanced patient satisfaction through transparent financial communication
  • Reduced accounts receivable days
  • Comprehensive reporting on verification activities and outcomes
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