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.

Check out our Free Trial offer!

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.

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
  • Consistent coverage- Do not worry about turnover, vacations, sick days etc.
  • Free up your staff from waiting on hold with insurance companies
  • We can work directly on your software or offline. You decide.
  • We can work on your schedule and stay ahead of schedule. Stay 3 to 5 days ahead of your schedule.
  • Hire a full time equivalent (FTE) through and save on taxes and benefits. We will save you money!
  • Get an experienced person working on our account. No hiring or training.
  • We can complete comprehensive verifications getting you the coverage information for all procedures and tests.
  • Outsourcing your dental insurance verification allows you to focus on patient care.
  • Identify a prior authorization needed before you see your patients.
  • Know your patients’ dental or medical coverage and plan custom treatments and identify non-covered services before providing them.
  • We are fully trained in most software and can work directly on your practice management system.
  • We have a QA team to ensure 98% accuracy.  We also record the phone calls with the insurance representatives for QA purposes.

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.

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
  1. 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.
  2. Patient Enrolment – Entering demographic information entry or update
  3. Eligibility Verification – Verifying coverage on all primary and secondary payers
  4. Authorization – Confirming authorization for treatment from appropriate sources, if applicable
  5. Contacting Patients – For further insurance details, we communicate with the patients
  6. Billing System Update – Updating the billing system with the verified details

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