Insurance Authorization Services

Patient insurance verification and authorization plays a major role in a hospital’s claims denial management program. A leading medical billing outsourcing company, Outsource Strategies International (OSI) has years of experience in providing insurance authorization service for diverse medical specialties. Serving all 50 states within the US, we verify coverage for all major and minor medical insurance plans in the country such as Blue Cross Blue Shield, United Healthcare, AETNA, GHI, Medicare and Medicaid, No-Fault, Workers’ Compensation and Liability.

Our insurance authorization company works as an extension of the client office every step of the way.

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Our team of specialists completes all the benefit verification work well before the office visit and follow up with payers after the initial submission till confirmation is obtained. The service includes verification of all details such as:

Payable benefits
Co-pays
Co-insurances
Deductibles

Patient policy status
Effective date
Type of plan and coverage details
Plan exclusions

Claims mailing address
Referrals & pre-authorizations
Health insurance caps
DME reimbursement

Try our service before you signup! Call 1-800-670-2809 to learn more.

Insurance Eligibility Verification

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.

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 the patient’s payment benefits and coverage for specific procedures prior to the appointment.

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.

Patient Registration and Scheduling – Receiving patient schedules from the hospital or clinic via FTP, Fax or Dropbox. We can work directly on your practice management system.
Patient Enrollment – Entering demographic information entry or update
Eligibility Verification – Verifying coverage on all primary and secondary payers
Authorization – Confirming authorization for treatment from appropriate sources, if applicable
Contacting Patients – For further insurance details, we communicate with the patients
Billing System Update – Updating the billing system with the verified details

Insurance Authorization Services

Comprehensive Insurance Verification Services

Insurance Eligibility Verification

Patient Enrollment

Insurance Pre- Authorizations

Patient Eligibility Verification

Our Insurance Eligibility Verification Process