Eligibility Verification

To ensure proper reimbursement, it is vital for medical practice to determine the eligibility of a patient’s health benefits prior to the starting of treatment. Denied claims and delayed payment can cause the practice to flounder. Patient eligibility verification helps prevent such issues. As a leading outsourcing company in the US, Outsource Strategies International (OSI) can take care of all your insurance eligibility verification and authorization requirements. We understand the complexity of the billing process and use our expertise to achieve optimal and timely reimbursement, and boost the bottom line and cash inflow of your medical practice.

Our staff will make every effort to verify insurance coverage. Our insurance verification specialist checks for policy changes and updates, completes the paperwork, and verifies patient information with the insurance provider.

Our Team Verifies:

  • Co-pays
  • Co-insurances
  • Claims mailing address
  • Deductibles
  • Patient policy status
  • Effective date
  • Payable benefits
  • Plan exclusions
  • Type of plan and coverage details
  • Referrals and pre-authorizations

All information is verified to determine eligibility and acceptance of the claim. We ensure that all procedures are handled appropriately so as to prevent insurance denials.

Insurance Eligibility Verification

Includes

  • Receiving schedules from the hospital via EDI, email or fax
  • Verifying patient insurance coverage
  • Contacting patients for additional information
  • Updating the billing system with eligibility and verification details

We make use of web-based software to study practice productivity, evaluate practice processes, and deliver quality eligibility verification solutions. We can work with your software and login in via VPN or use our own billing software.

OSI Service Highlights

  • QA will be done in all departments and reports will be available on request
  • Customized solutions
  • HIPAA compliance
  • Ensures faster, quicker service
  • Fast turnaround time
  • 24X7 professional support

We ensure reduced overhead 30 to 40% below operational and can cover any size of practice. For a Free Trial of our eligibility verification service, call our toll-free number: 1-800-670-2809.