Denial Management Services
“Verify Patient Eligibility In Real Time”
Get peace of mind knowing that all patient insurance eligibility details are confirmed before you start treatment.
Why Patient Eligibility Verification Services are Important?
It is a very important step because it makes sure you get paid for the services you provide. If it is not done in the start, you risk your claims getting denied which can create financial problems for your practice. Verifying eligibility before treatment gives you peace of mind knowing upfront that patient’s insurance covers the services, which helps prevent payment delays. Accurate eligibility verification helps your practice stay in compliance with insurance provider requirements.
When you are staying updated with constantly changing insurance plans and policies, it makes sure you can provide care without worrying about reimbursement.
Having this service part of your medical billing process enhances patient satisfaction. Because when patients are aware of their coverage and potential costs which they will be paying, before receiving care, builds trust and improves overall experience with your practice.
About our Patient Eligibility Verification Services
Immediate Insurance Verification
We make sure that each patient’s insurance coverage is checked straight away, giving you immediate confirmation of their eligibility before service is provided. This helps avoid claim denials and delays.
Alerts on Eligibility Issues
If there is any problem with a patient’s insurance eligibility, we automatically flag it for you. In this way, you can address the issue early on, saving time of your practice and preventing future claim denials.
Coverage with All Insurance Providers
Whether your patients are covered by private insurance companies or government policies, we handle verification for all types of insurance providers, making sure you are always in loop.
Simplified Claim Submission
We make the claim submission process simplified and accurate because of advance eligibility confirmation. In this way you get payments on time and lower claim denial rates.
Clear Patient Payment Information
We help you understand exactly how much your patients owe, how much the insurance provider owes, so there is no confusion about billing.
Instant Reports
We send patient's insurance eligibility updates up to the minute, along with detailed reports.
Easy Integration
We provide tracking software which works with your current practices systems, so there are no interruptions in your workflow.
Our Process
Collect Patient Information
We start the process by collecting the necessary details about patients like their insurance provider, policy number and any other relevant information. In this way we are assured that we have everything we need to verify eligibility.
Real Time Verification
We instantly check the patient’s insurance eligibility using our system. This gives us information about their coverage and what is included in their insurance plan.
Flagging Issues
If we notice something unusual like missing coverage or expired policy, we immediately flag it for you. So you are aware of the issue before the patient's visit.
Detailed Reports
We send you a detailed report of patient eligibility verification, explaining what is covered in their insurance plan and what is not, also any issues that were flagged. This helps your practice make the informed decision without any confusion.
Ongoing updates
We always keep you informed on what is happening with your patient’s insurance status. If anything changes that requires your attention, we will update so you can deal with it timely.
Results You Can Expect
Faster Payments
We catch eligibility issues in the start with our verification process, in this way we avoid claim denials and you get paid faster which improves your cash flow.
Lower Denial Rates
Eligibility problems are a major reason for claim denials in the medical billing process. We help you catch these issues upfront, so you can get more claims approved. This lowers your denial rates.
Less Admin Work
Outsourcing your patient eligibility verification process reduces work on your administrative team, so they can focus more on providing care.
Increased Patient Satisfaction
When insurance coverage is verified before treatment, we help you give your patients clear expectations, leading to better experience and higher satisfaction.
Easier Budget
When eligibility verification is done properly, you know how much revenue should be coming to your practice in this way you can budget your practice growth.
Why Choose Us?
Nationwide Availability
We provide our services across all 50 states, so no matter where your practice is located we are there to help you with patient eligibility verification.
Specialties
We have experience of working with more than 67 specialties which includes but not limited to Family Medicine, Cardiology, Dermatology. So no matter which speciality you have got, we provide solutions according to your practice needs.
Easy to Use Software
We provide you with our easy to use software, where you can track real time updates of your patients eligibility.
Dedicated Support
We provide you ongoing support. If any issue comes up, we are always available to guide you in resolving it.
Compliance
We take the privacy of your practice data very seriously. That is why all of our eligibility verification process follows HIPAA regulations to protect the information.
Contact Us Today!
Success Stories
Frequently Asked Questions (FAQs)
How Do You Verify Patient Eligibility?
We use a real time tool to verify patient eligibility directly with the insurance provider, it reduces errors and ensures accuracy.
How Long Does the Verification Process Take?
We make sure most verifications are completed within minutes with our optimised system.
Do You Handle All Insurance Types?
Yes, we work with all major government and commercial insurance providers, covering most of the plans and policies.
What Are the Costs for Your Eligibility Verification Services?
Our pricing depends on your practice size and needs. Contact us for a free consultation to discuss further.
How Do I Get Started?
You can get started by clicking on the schedule a free consultation button below.
