What is Insurance Eligibility Verification?

Insurance eligibility verification is the process of confirming a patient’s active insurance coverage and benefits before they receive treatment.  This involves:

• Gathering Patient Insurance Information: We collect accurate and up-to-date insurance details from patients.
• Verification with Insurance Providers: We utilize electronic or phone communication to verify active coverage, plan details, and potential patient responsibility (co-pays, deductibles, etc.).
• Clear Communication with Patients: We inform patients of their coverage details and any expected out-of-pocket costs before their appointment.

Benefits of Our Insurance Eligibility Verification Services:

• Improved Patient Experience: Transparent communication upfront avoids billing surprises and fosters trust with patients.
• Reduced Administrative Burden: Our team handles the verification process, freeing up your staff’s time.
• Increased Revenue Collection: Identifying patients with limited coverage or high deductibles allows for upfront collection or discussion of alternative payment options.
• Minimized Denials: Verifying coverage helps avoid claim denials due to inactive insurance or coverage limitations.
• Streamlined Workflow: Timely verification ensures a smooth patient experience from scheduling to billing.

Don’t let insurance uncertainties disrupt your practice or your patients.  Medical Billing Solutions can be your partner in ensuring clear insurance understanding.  Our insurance eligibility verification service provides both patients and your practice with valuable peace of mind.