Medical Insurance Verification
Quality Claims processing is the result of determined efforts towards accuracy and completeness at each scope of Medical Billing Service . This mandates the needs for Insurance Eligibility Verification which helps in achieving current and accurate information about the patient’s insurance coverage and benefits which is the primary requirement for clean claims and quality Medical Billing Service .
Insurance Eligibility Verification Process:
Insurance Eligibility Verification plays a major role in clean claim submission, increased first pass rate and higher reimbursement. The process ensures validating insurance coverage benefits and eliminate the possibilities of claim denials due to incorrect and inaccurate data. Nevertheless, this explains why “Medical Insurance Verification” should be the first steps towards cleaner claims and increased cash flow.
At e-care we have a standalone team of experts to handle “Insurance Eligibility and Benefit Verification” Below are the step by step streamlined methodology followed at e-care which helps achieve the best out of each claims:
- e-care access patients scheduling and Registration information received from clients for verification.
- Our team Verifies patients coverage information by calling the primary and secondary insurance or online portals, Verify Insurance coverage benefits and service level benefits in detail.
- Obtain “Prior Authorization” and referral numbers as and when required.
- Ascertain the payment responsibilities like Copay, deductibles, Co-Insurance and other coverage benefits.
- Update and edit the billing system accurately with current and accurate information gathered
- Identify and flag coverage exclusions or issues in patient eligibility and notify our clients.
Benefits of Opting e-care’s Insurance Eligibility Verification Services:
Insurance Eligibility Verification experts have experience handling Eligibility Verification for wide range of specialties and knowing the nuances of various insurance requirements. The vast experience e-care has gained over two decades being the trusted partner for Insurance Eligibility Verification guarantees best results and client satisfaction! Our clients enjoy the below benefits by choosing us as their service partner:
- Significant Increase in Revenue flow resulting from our Eligibility Verification Services.
- Minimized Claim denials and payment delay.
- Minimized Accounts Receivables by improving claim quality.
- Improve cleaner claims and first pass rate with Maximum reimbursement
- Clear cut Insurance Eligibility and coverage Benefit information to process claims accordingly
- Inform clients about red flags in insurance coverage and payment responsibility.
Our clients have recognized the benefits and have been extremely satisfied and thankful for the huge impact we bring by increased collection. Our team has been able to quickly resolve claim errors or payment related issues and ensure the maximum reimbursement is collected within the stipulated turnaround time.