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ELIGIBILITY VERIFICATION
 

Once the patient coverage information is gathered we can confirm the eligibility via phone or web portals.  Any discrepancies uncovered prior to the appointment date can be discussed and resolved with the patient when the appointment confirmation is performed through voice calls, texting or email.  The benefits of insurance eligibility verification are:

  1. Minimize Claim Denials – Insurance ineligibility is one of the major reasons for denied claims.  This has a direct impact on payments and cash flow
  2. Reduction of Resubmitted Claims- Resubmission of claims reduces your staff efficiency.  Decreasing the number of resubmissions will result in a direct improvement in productivity
  3. Patients Coverage Expectations - Enhances overall patient satisfaction and minimizes the risk of uncollected balances
  4. Provides Accurate Determinations of Co-Pay and Deductibles
Appointment confirmation and patient pre-screening will ensure full optimization of a physician and medical staff’s time.  Ensuring accurate information is obtained and confirmed prior to the patients appointment dramatically improves the acceptance of claims and results in faster payments. 

 

 
 
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