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Are you facing challenges in validating your patient's copayment, insurance benefits, and deductible information? And looking to collaborate with an insurance expert to relieve you from the insurance eligibility verification tasks? An accurate eligibility verification process serves two important purposes for healthcare professionals, physicians, and hospitals. The first one is to avoid claim resubmission, claim rejections, and denials. The second one is to increase upfront collection through clean claims.

Our team includes skilled and talented insurance specialists who are always geared to serve you. The process of verifying patient eligibility and benefits can be a time-consuming process for clinics and hospitals, no matter how many patients there may be. It is important that this process be done in a timely and efficient manner. Meticulous eligibility and benefit verification helps in reducing bill claim denials due to incorrect billing, which can result in a significant loss of revenue for healthcare providers.

Effective date and coverage details

We verify a wide range of data:

1. Individual patient eligibility
2. Type of plan
3. Payable benefits
4. Co-pay
5. Deductibles
6. Co-insurance
7. Claims mailing address
8. Referrals & pre-authorizations
9. Pre-existing clause
10. Lifetime maximum
11. Other related information

Our verification process will check procedure-specific coverage and benefits and all out-of-pocket costs so that patients know what is due before their visit. This will help patient collections and prevent them from aging and eventually becoming uncollectable. By reducing uncertainty about payment, our insurance eligibility verification checks also enhance patient satisfaction. Through our services, healthcare providers are able to reduce the time required for patient check-in processes (thereby enhancing service levels) and increasing productivity. Once the documents are in order, we submit the final report that incorporates all the insurance benefits. It includes details like member ID, group ID, Insurance start and end date, copayment details, etc. This process negates any last-minute schedule changes and saves time for both the healthcare staff and the Patient.

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