REDUCE RISK OF DENIALS

Insurance Eligibility Verification

Key Benefits of Outsourcing Insurance Eligibility Verification

Insurance eligibility verification is a crucial step in the medical billing and coding process. Often, insurance companies deny or delay medical claims due to incorrect or insufficient coverage information provided by patients or lack of updated coverage information by hospitals or administrative staff. This can directly affect the cash flow of the company by delaying reimbursements.

To avoid these issues, many companies outsource insurance verification to service providers with experienced medical billing and coding teams who stay up-to-date with changes in health plans and policies. At RCM Matter, we offer efficient and timely insurance eligibility verification services to clients worldwide to help them streamline their processes and avoid delays and claim denials.

Our eligibility verification services include the following:

  • We review and verify healthcare documents against a checklist to meet insurance requirements.
  • We confirm patient insurance information with primary and secondary payers before appointments via phone or online portals. Then, we update patient notes with details like co-pay, deductible, in/out-of-network benefits, and PCP information.
  • We follow up with patients to obtain missing/incorrect info and necessary authorization before submitting documents, ensuring accuracy and completeness.
  • We give the client the final results, including patient eligibility, benefits, and insurance details like group ID, member ID, and co-pay.

Choose Us as your Insurance Eligibility Verification Company

Partnering with Medical Business Advocates means gaining access to our team of experienced medical coders who have worked with healthcare firms worldwide. Our streamlined medical insurance eligibility verification process ensures accurate verification of medical insurance claims, providing clients with timely reimbursements without any delay or denial. Here are some reasons to choose us:

We prioritize the security of your medical insurance data and have implemented data security policies to ensure complete safety.

Our team is trained to use the latest medical billing software and can adapt to different tools and technologies based on client preferences.

Our quick verification services ensure timely reimbursements and avoid delays in the overall claim reimbursement process.

While preventing denials is the best way to resolve them, it’s not always feasible. Unresolved denials can significantly increase your accounts receivable days. Our team has the expertise to quickly identify denials and re-file them accurately, significantly reducing A/R days.

We provide the best quality services at highly cost-effective rates, enabling our clients to save on overhead costs.

With our state-of-the-art infrastructure, we provide quick, accurate, and reliable insurance verification services at reasonable rates.

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