Insurance Verifications and Authorizations

Insurance verification and authorization is an important requirement from the point of view of the income of a medical office. If you are a healthcare provider looking to streamline your patient eligibility verification process, Outsource Strategies International (OSI) is your reliable partner. We verify the insurance coverage details of each patient, both new and returning, significantly reducing the impact of patient ineligibility, and increasing the number of good claims that are sent to insurers.

More than 75% of all claim rejections and denials by payers result from faulty patient insurance coverage determination.

Our professional insurance verification specialists are well-trained to efficiently handle this time-intensive task. Our clients include major insurers in the country such as Blue Cross Blue Shield, United Healthcare, AETNA, and GHI.

Our HIPAA-compliant services come with cost savings of 30% to 40%.

Our 

Insurance Verification Services

Cover

  • Patient policy status
  • Type of plan and coverage details
  • Claims mailing address
  • Deductibles
  • Effective date
  • Payable benefits
  • Plan exclusions
  • Referrals and pre-authorizations
  • Co-pays and co-insurances
  • Out-of-network benefits
  • Health insurance caps
  • DME reimbursement

We also cover specific codes, surgeries/drugs, Medicare Managed Care plans etc. Our focus is on providing customized benefit verification service tailored to each practice specifics. We can assist you with any type of insurance claims; let that be No Fault (Personal Injury Protection), Liability or Workers’ Compensation.

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Advantages of Partnering with OSI

Eligibility verification services at OSI are comprehensive and thoroughly efficient. We take effort to call the carriers directly and verify the insurance details. Moreover, we document and record the calls thus saving crucial time for your practice. As our valued client, you benefit from the following.

  • Enhance practice revenue
  • Save valuable time of your staff spent interacting with payers to verify benefits
  • Reduce risk factors
  • Reduce claim rework
  • Reduce claim denials and rejections
  • Reduce slow cash collections from high-deductible and HSA plans
  • Customized TAT
  • Quick turnaround time
  • Simplified workflow
  • Competitive pricing
  • Exclusive team on each project
  • Round-the-clock professional support on demand
Systematic 

Insurance Verification Services

at OSI

We can work with your software and log in via VPN or use our own billing software. We make sure that all steps in the verification process are carried out properly so as to avoid any possible denials.

  • Weekly and monthly status reports
  • Comprehensive analysis by experienced professionals
  • Regular QA checking with readily available reports for the client

To learn how our insurance authorization services can help enhance your practice’s bottom line, call us today at 1-800-670-2809.