Eligibility & Benefits verification is one of the top most integral parts of the Medical Billing process. As per industry research, most insurance denials occur due to improper coverage information.
Insurance companies frequently make policy changes and updates in their health plans. If the provider or the billing office is not aware of these changes, this may directly impact the practice revenue. Therefore, insurance eligibility verification of patients becomes an inevitable part in the Medical billing process. We at eMedRCM have built a template for verifying and updating the member’s benefits and Eligibility.
We pull the patient’s schedule from the EMR system.
We call the payers directly/IVR or verify the eligibility & benefits through authorized online insurance portals and obtain the patient’s eligibility information like
The eligibility & benefits information is directly uploaded in the respective patient account in the billing system. A copy of the report will be e-mailed to the client before the patient visit the doctor office.
Our insurance eligibility verification team follow a standard questionnaire while verifying the patient’s eligibility & benefits. This questionnaire has been built in a way to zero out any rejections from the payers and ensure all the claims sent out reaches the payer as a Clean Claim resulting in maximizing the revenue of the practice.
Patient insurance eligibility verification is the first and perhaps most critical step in the medical billing process. That means your service provider has to obtain and accurately record all eligibility information. Physicians need to verify each patient’s eligibility and benefits to ensure they will receive payment for services rendered.
The verification of patients eligibility for health insurance is essential since it affects the companies cash flow directly. Some of the advantages of outsourcing eligibility services are stated here:
Outsourcing eligibility services to a company with an experienced team of medical billing and coding professionals who are up to date on all frequent changes in health plans and policies will prevent insurance claim delays and denials.
eMedRCM is a prominent RCM services company that has been delivering complete medical billing services including eligibility verification services to global clients for over the years. Our cost-effective services enable companies to reduce administrative expenditures and focus on other core operations and better serve their patients. eMedRCM has provided swift and effective eligibility verification services to clients in United States over the years.
Our Eligibility Verification Specialists Will Confirm the Following Patient Benefits:
To maximize claim acceptance and decrease denials and write-offs, we use a faster insurance verification procedure. Outsourcing insurance eligibility verification services to us will help you get your medical claims cleared faster, which will improve your cash flow.
eMedRCM offers comprehensive patient eligibility verification services to help healthcare providers confirm check coverage prior to the office visit. Our focus is on preventing denials and avoiding delays in payment, which will boost revenue at the time of service, save time on the back end, and also enhance patient satisfaction.
We do more than just billing – We transform the revenue cycle with solutions that streamline the patient experience, drive operational efficiency and improve financial performance.