Insurance Authorization Service

Insurance verification and authorizations are among the most challenging tasks in the medical billing process. Verifying coverage and obtaining authorization from the insurance company can be time consuming and resource consuming. Moreover, the demand for prior authorization has grown steadily. The best solution is to leave this task to the experts. Outsource Strategies International (OSI) is a leading medical billing outsourcing company with vast experience in providing insurance authorization service.

Our insurance authorization company works as an extension of the client office every step of the way. We are experienced in providing verification and authorization services for all major insurers in the country such as Blue Cross Blue Shield, United Healthcare, AETNA, and GHI.

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Comprehensive 

Insurance Verification Services

Patient Enrollment

Patient Enrollment

Payment for your healthcare services can get delayed or even refused by payers if proper enrollment is not done. Eligibility criteria are checked well before every patient’s office / hospital appointment. Patient enrollment process involves the filling up and submission of a specific form.

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Insurance Pre-Authorizations

Insurance Pre-Authorizations

Pre-authorization is essential for many non-emergency medical procedures and services. Our goal is to ensure maximum and speedy reimbursement. For that, we verify patient’s payment benefits and coverage for specific procedures prior to the appointment with the hospital.

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Patient Eligibility Verification

Patient Eligibility Verification

Comprehensive patient eligibility verification requirements are checked. We verify all information to determine eligibility and acceptance of the claim. We check for policy changes, complete the paperwork, and verify patient information with the provider.

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Efficient Team Work at OSI

Our team of verification experts process prior authorization requests for your patients quickly and efficiently. OSI’s professional team has extensive expertise in verifying medical coverage for DME (Durable Medical Equipment) and has experience in authorizing up to 300 DME cases per day.

They complete all the benefit verification work well before the office visit and follow-up with payers after the initial submission till confirmation is obtained. With their experience in handling many types of insurance claims such as Worker’s Compensation, Liability, or Personal Injury Protection (or No-Fault), our billing specialists verify all details such as:

Verification Process

  • Co-insurances
  • Co-pays
  • Payable benefits
  • Effective date
  • Plan exclusions
  • Pre-authorizations
  • Referrals
  • Kind of plan
  • Coverage information
  • Claims mailing address
  • Patient policy status
  • Deductibles
  • Lifetime maximum

We ascertain that all requirements are efficiently met, manage follow-up and send results immediately back to the provider. We communicate with the concerned agencies/companies for appeals, missing information, and other matters.

Why Choose OSI?

We are a national company and no client is small for us. We have an impressive track record of handling practices of all sizes. Our services are made available in all states. Choose us to handle your insurance verification and enjoy the following benefits

  • Comprehensive evaluation of patient benefits by an experienced team of professionals
  • Weekly and monthly status reports
  • Regular QA checking with readily available reports for the client
  • Cost savings of 30% to 40%
  • Adherence to all HIPAA guidelines
  • Customized TAT

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

insuranceverification-authorization-processflow

To learn more about our insurance authorizations services, call us today at 1-800-670-2809. Take our Free Trial for a first-hand experience of our professional solutions!