Insurance Verification and Authorization – Process Flow

Denied claims can become a huge waste of time and money for any practice. Insurance verification and authorization is crucial in accelerating physician’s reimbursement process.

Health insurance verification services involve checking the active coverage of the patients with the insurance company and related details. It plays a major role in the practice’s claim denial management program. Even simple inaccuracies in patient information can lead to billing denials. The smallest details are important to getting medical bills paid the first time. Most of the claims get denied due to errors in eligibility. This happens because physicians and their practice staff have no way of knowing if a patient is eligible for coverage without verifying this information directly with the health insurance company.

An infographic presentation of the insurance verification process is given here.