Medical Eligibility Verification
Medical eligibility verification is one of the most critical steps when it comes to claims management. Checking eligibility is quite time consuming and error prone. With a busy work schedule, healthcare professionals may not get the time to do this administrative task properly. Outsourcing these tasks will be the best option to get your job done right. Outsource Strategies International (OSI) can assist healthcare practices of all sizes, and provide accurate and prompt medical eligibility verification.
Medical Insurance Verification
ServicesNon-verification of insurance would lead to claim rejections and denials. Lack of accurate information, missing information - all can result in claim rejections. In certain cases a patient’s insurance may have expired or it may not cover the particular ailment. By ensuring accurate medical eligibility verification, healthcare practices can avoid losses, risks, and the need for rework. You no longer have to face difficulties with regard to lost billing due to delays or errors in insurance checks. Our team at OSI works hand in hand with the client to provide all that’s required to maximize collections.
Why Outsource to OSI
- Streamline your billing procedures
- Free up your staff to focus on more productive tasks
- Reduced costs (30% to 40% below operational)
- Improve payment and collections
- Reduce accounts receivable
- Minimize the risk of claim denials
- Maximize reimbursement
Our medical insurance verification process involves:
- Receiving schedules from the hospital via EDI, email or fax
- Verifying coverage on all primary and secondary payers
- Contacting patients for additional information if necessary
- Providing clients with the results which include eligibility and benefits information such as coverage start and end dates, member ID, group ID, co-pay information and much more
During the health insurance verification process, a lot of information is collected and verified by our insurance specialists, which includes:
- Effective date
- Type of plan like PPO, HMO, POS, and more
- Patient policy status
- Co-pays
- Co-insurances
- Claims mailing address, and more
Contact us to find out more about our medical eligibility verification services. Call 1-800-670-2809. We also offer FREE TRIAL to ensure our service quality.
