The
process of insurance eligibility verification is not as simple as
cross-checking data. There are hundreds of insurance providers in United States
alone—and they all update their plans frequently. Unchecked details lead to
insurance claim denials. Unfortunately, many details fall into the cracks
because hospitals, clinics, and other healthcare organizations often lack the
manpower to focus on this task.
The best solution is to partner with an offshore medical billing company to prevent rejected claims. By partnering with an offshore medical billing company, your billing company or physician group saves time, energy, and money. Offshore medical billing companies in India are affordable, and since they are doing all of the medical billing, you gain more time to focus on your Client Service or patients based on your business. However, choosing the right business partner is essential in the offshore space!E-care has over 16 years of experience. We offer end to end medical billing services, from insurance eligibility and benefit verification, Demo Entry, Coding, Charge Entry, Transmission, Payment Posting, Accounts Receivable and denial management, patient registration, indexing medical records, and much more. We are ISO-certified, a member of the HBMA or the Healthcare Business Management Association, and comply with the regulations and the latest HIPAA rules.
When
we go through the process of
insurance eligibility verification, we receive the schedules of the patients
via email, fax, or EDI. We make sure to verify the Insurance for patients two
days or more prior to the encounter depending on the requirement from our
client. We have highly skilled and experienced team who is capable of maintaining
the TAT and accuracy over 98%!
Our
team may also regularly check the schedule through the appointment and
scheduling software. The next step is to verify the patient’s insurance
coverage with the insurance company. This involves making calls to the
insurance providers, speaking with the insurance representatives or requesting
fax through IVR and checking information through their authorized insurance
portals online. If need be, we contact the patients for more information. Post
which, the team updates the billing system with the details of eligibility and benefits
verified, such as the co-pay, coverage period and identification (member ID,
group ID, etc.) The team also input other information
such as deductibles and other benefits information including maximum
limitations. In the event that there are issues arising from a patient’s
insurance eligibility, the client is informed as soon as possible. This
streamlined process will considerably reduce rejected and delayed claims and
increase practice collections. It also shortens your revenue cycle.
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