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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