• Duke Bruce posted an update 5 years, 2 months ago  · 

    Insurance firms continuously make modifications in their own health insurance policy. So, verify patient insurance eligibility are becoming absolutely essential in the medical billing way to verify whether or not the patient is included under the new want to help achieve maximum benefits of insurance. Insufficient proper eligibility can result in problems for example delayed payments, increased errors, dependence on rework, non-payment of claims, and patient dissatisfaction.So to be able to minimize delays and improve collections, many healthcare organizations have begun outsourcing their insurance eligibility verification tasks. Insurance verification services ensure substantiation of payable benefits, patient details, pre-authorization number, co-pays, co-insurance details, deductibles, patient policy status, effective date, type of plan and coverage details, plan exclusions, claims mailing address, referrals and pre-authorizations, lifetime maximum plus more.Besides reducing delayed payments and improving collections, health insurance verification offers you an array of benefits including:• Improved cashflow• Reduced costs (30 to 40% below operational)• Increased efficiency• Reduced denial of claims• Reduce lost revenue in collections• Increased staff productivity• Increased patient satisfaction• Increased number of clean claims• Improve patient care• Reduce time spent following on claims• Increase office efficiency• Reduced effort • Speed up approval and authorization• Simplified workflow• Increased quantity of clean claims• Faster billing cycles• Improved staff productivity • Lower your risks• Reduced rework of claims• Maximize office efficiency and economies of scale• Expand company focus• Devote more time to core business objectives• Reduce time spent following up on claimsThe entire process of medical insurance verification involves numerous important steps:• Receive schedules from the hospital (Via FTP, Fax or E-mail) • Verify coverage on all primary and secondary payers• Contact patient to acquire more information if neccessary• Provide the client using the results including eligibility and benefits information such as member ID, group ID, coverage end and commence dates, co-pay information and much more. • Enter and update patient demographicsSome of the services that insurance verification specialists can provide include assist with obtain pre- authorization number, provision of reminders to patient about POS collection requirements, obtaining referral from PCP, informing client if you have a concern with coverage or authorization, and Medicaid enrollmentIn a nutshell, insurance eligibility verification minimizes the probability of denial of the claims by scrutinizing the eligibility and making use of your patient before the services are delivered. A lower variety of denials means more clean claims, which suggests improved collections, and better cash inflow.