We conduct thorough eligibility and benefit verification for each patient. This involves verifying the patient’s demographic information, policy effective dates, primary care physician (if applicable), and any limitations or exclusions associated with the insurance plan. Understanding the patient’s eligibility and benefits helps us accurately estimate patient responsibility and optimize revenue capture.
Pre-Authorization Requirements
Our team identifies and confirms any pre-authorization requirements for specific medical procedures, treatments, or services. We gather the necessary information and documentation required by insurance companies to initiate the pre-authorization process. By ensuring compliance with pre-authorization guidelines, we help you avoid claim denials and delays.
Verification Documentation
We maintain detailed records of insurance verification activities, documenting all communication with insurance companies and the information obtained. This documentation serves as a reference for future claims and provides a comprehensive audit trail for billing and reimbursement purposes.
