Eligibility & Benefits Verification

Reduced Errors.
Increased Reimbersement.

Experience minimal rejections and improved submission of clean claim with the help of our exceptional eligibility and benefits verification services.

GLOSSARY

Eligibility & Benefits Verification

Eligibility and Benefits Verification is the process of checking the policy details, which includes co-pay, deductible, member ID, and the benefits information of the patient. The information is verified through various channels, including payers and patients, and modes- portals, phone calls, faxes, and emails.

Our EDGE

Experience. Expertise. Execution.

Minimal policy related claim denials.

Cost savings through efficient utilization of the tools and resources.

Real time data verification and entry in the billing software.

Minimal clearing house rejections.

Improved patient and provider satisfaction through quality service.

WHY HOM

Improve procedural efficiency.

Patient Information

Our eligibility and benefit verification specialists routinely follow up with the insurance carriers to ensure that patient information is up-to-date and accurate during the visit.

Clean Claims Rate (CCR)

Experience enhanced Clean Claims Rate (CCR) through our meticulous verification processes, accurate documentation, and effective communication with patients and insurance providers, helping healthcare organizations minimize claim denials, accelerate reimbursement, and optimize revenue cycles.

Our eligibility and benefit verification specialists routinely follow up with the insurance carriers to ensure that patient information is up-to-date and accurate during the visit.

Experience enhanced Clean Claims Rate (CCR) through our meticulous verification processes, accurate documentation, and effective communication with patients and insurance providers, helping healthcare organizations minimize claim denials, accelerate reimbursement, and optimize revenue cycles.

IMPORTANCE OF Eligibility & Benefits Verification

Why Eligibility and Benefits Verification is important?

Accurate Demographic Information

Verifying eligibility enables the practices to determine the patient insurance coverage and report demographic information accurately on the claim form.

Reduced Revenue Leakage

By prioritizing the eligibility verification, practices can minimize the revenue leakage through claim rejections and denials. It also promotes patient collection measures and prevents payment delays.

Process

The process of Eligibility and Benefits Verification

Eligibility & Benefits Verification process
Eligibility & Benefits Verification process

98%

Accuracy

48 hours turnaround time.

Know more about our capabilities in Eligibility & Benefits Verification

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