Consistent Verification to Ensure Accuracy

Eligibility and Benefit Verification

A patient's eligibility and benefits can change at any moment. Lack of follow-up with insurance carriers before seeing a patient could lead to an increase in claim denials and a significant loss of revenue. Maintaining a consistent and accurate verification process is essential to maintaining a healthy revenue cycle. Our eligibility and benefit verification specialists routinely follow up with the insurance carriers to ensure that patient information is up-to-date and accurate at the time of the visit.

We Verify a Wide Range of Data:

  • Effective date and coverage details
  • Individual patient eligibility
  • Type of plan
  • Payable benefits
  • Non-covered procedures
  • Co-pay
  • Deductibles
  • Co-insurance
  • Claims mailing address
  • Referrals and pre-authorizations
  • Pre-existing clause
  • Max-daily benefits
  • Lifetime maximum
  • Other related information

Our verification process checks procedure-specific coverage and benefits along with all out-of-pocket costs so that patients are aware of what is due before their visit. This process provides on-time patient payments and prevents unnecessary back-end collections, effectively increasing patient satisfaction and maximizing revenue.