Patient Eligibility Verification
Determining the eligibility of a patient's insurance and benefit coverage is critical, as it directly affects the reimbursement due to you. It is essential to perform the eligibility criteria prior to every patient’s office/hospital appointment. Verification processes are somewhat time-consuming, and most healthcare providers may not have the time or the training required to carry out patient eligibility verification. Outsource Strategies International (OSI) can help you with expert assistance in this regard. As a leading outsourcing company in the US, we take care of your patient eligibility verification follow-up processes.
Insurance Verification Services
for Practices of All SizesNon-verification leads to several problems such as need for rework, claim rejections, and more. Fully aware of this, we provide health insurance verification to practices of any size. To meet your demands, we have on staff trained and skilled insurance verification specialists. They interview patients and complete all paperwork necessary for the verification process.
The benefit eligibility data we obtain include details such as:
- Payable benefits
- Patient details
- Co-pays
- Co-insurance details
- Pre-authorization number
- Deductibles
- Patient policy status
- Effective date
- Type of plan and coverage details
- Plan exclusions
- Claims mailing address, and more
Eligibility Verification
Services IncludeThere are a few simple steps required to complete the insurance eligibility verification process. These include:
- Receiving patient schedules
- Verifying patient’s insurance coverage
- Contacting patients, if required
- Updating the billing system with eligibility and verification details
Our Service Benefits
Our services assure you of the following benefits:
- Improve patient care
- Reduce rejections and denials
- Reduce lost revenue in collections
- Reduce time spent following up on claims
- Increase efficiency
- Improve patient satisfaction
- Increase number of clean claims
- Reduce overhead – 30% to 40% below operational costs
For more information about patient eligibility verification services or to schedule a Free Trial, call 1-800-670-2809.
