Health Insurance Verification
Verifying health insurance eligibility is a key process in the medical billing cycle. Many organizations struggle with such challenges, and insufficient verification results in the denial of insurance claims. This is where Outsource Strategies International (OSI) can help. OSI understands the importance of health insurance verification and validation strategies to processing claims. Our services are available to practices of any size.
Insurance Verification Services
Before patients are admitted into a hospital, we confirm insurance coverage eligibility with the insurance provider. Our health insurance verification specialist works with patients, checks for policy changes and updates, completes the paperwork, and verifies patient information with the insurance carrier. 
Our team verifies:
- Payable benefits
- Co-pays
- Co-insurances
- Deductibles
- Patient policy status
- Effective date
- Type of plan and coverage details
- Plan exclusions
- Claims mailing address
- Referrals and pre-authorizations
- Life time maximum, and more
Confirmation of eligibility criteria ensures acceptance of the claim on the initial submission, while non-verification would lead to insurance denials and the need for rework. Our professional team provides all the necessary assistance in the verification process.
Insurance Eligibility Verification
The process involves:
- Receiving schedules from the hospital via EDI, email or fax
- Verifying patients’ insurance coverage
- Contacting patients for additional information
- Updating the billing system with eligibility and verification details
Our verification services effectively minimize the accounts receivable cycle and increases revenue.
What you Stand to Gain
- Faster billing cycles
- Faster, quicker service
- Increased clean claim count
- Increased cash collection
- No delays in payment
- Improved staff productivity
- Reduced overhead 30 to 40% below operational
We want you to think of us when you have a challenge. More than likely we will have a solution. For a Free Trial of our health insurance verification service, call our toll-free number: 1-800-670-2809.
