The Facts on Solutions for Medical Eligibility Check

Health insurance verification is the method of confirming that a patient is protected under a health insurance plan. If insurance details and demographic info is not properly checked, it may disrupt the money flow of your respective practice by delaying or affecting reimbursement. Therefore, it is advisable to assign this to your professional service agency. Here’s how medical eligibility verification system help medical practices.

Gains from Competent Insurance Eligibility Verification Services

All healthcare practices look for proof of insurance when patients register for appointments. The procedure must be completed before patient appointments. Together with capturing and verifying demographic and insurance information, employees in the healthcare practice must perform an array of tasks for example medical billing, accounting, sending out of patient statements and prepare patient files Acquiring, checking and providing all patient insurance information requires great awareness of detail, and it is very difficult in the busy practice. Therefore increasingly more healthcare establishments are outsourcing health insurance verification to competent firms that offer comprehensive support services for example:

• Receipt of patient schedules from the hospital or clinic via FTP, fax or e-mail

• Verification of all the information you need like the patient name, name of insured person, relationship to the patient, relevant phone numbers, birth date, Social Security number, chief complaint, name of treating physician, date of service,, kind of plan (HMO or POS), policy number and effective date, policy coverage, claim mailing address, etc

• Contact the insurance company for each and every account to make sure that coverage and benefits eligibility electronically or via phone or fax

• Verification of primary and secondary insurance coverage and network

• Communication with patients for clarifications, if required

• Finishing of the criteria sheets and authorization forms

One of the greatest great things about outsourcing this task with an experienced company is that they have a specialized team on the job. By using a clear comprehension of your goals, the 48devlpky activly works to resolve potential issues with coverage. By using about the workload of insurance verification, they assist you and administrative staff give attention to core tasks. Other assured gains:

• Streamlined workflow

• Fewer claim denials

• Speedy billing cycle

• Saved time

• Quick insurance verifications and authorizations

• Improved staff productivity

• Simplified medical billing process

Firms that offer this specific service to assist medical practices provide efficient medical billing services. Using the right service provider, it can save you approximately 30 to 40 % on