Eligibility Verification

 

Eligibility / Benefits verification is a very important process in overall revenue cycle management. Eligibility verification is the most efficient way to eliminate denials. As soon as our team gets the list of scheduled patients they get right to work.

Verification team accesses payer’s website / portals, AVR systems and also speaks to the Insurance Company’s reps to get the required information.

Our team runs through a standard list of verification questions to confirm the patient’s eligibility and coverage for the services to be provided. This includes coverage limits, effective dates, Co-pays, deductibles, Out of pocket expenses, Referrals & Authorizations.

As soon as the required information is verified, we immediately report back to our clients with the required reports or by directly entering the information in the Medical Billing software.