Eligibility Verification & Pre-Authorization Services

Why you should very Eligibility?

More and more insurances are requiring pre-authorizations for you to get paid for your services. Having access to the most up-to-date eligibility and benefits data increases clean claims rates, eliminates costly rework and accelerates reimbursement that increases time-of-service collections, minimizes bad debt and boosts patient satisfaction

Eligibility Verification / Pre-Authorization Services

An efficient revenue cycle management begins with the implementation of best process practices from day one. These processes take the guesswork out of whether services are covered or being denied because the “Procedure requires referral or authorization.” Many denials can be eliminated by proper coverage verification and by obtaining referral/authorization prior to providing the services.

Our process

Receive schedule of patients who require pre-authorizations from the providers as soon as patient calls to schedule their appointment.

Call the patient’s insurance portal as soon as possible to verify patients’ insurance coverage with primary and secondary payers. We also contact patients for additional information, if required.

Update the medical billing system with eligibility and verification details. In case of issues regarding a patient’s eligibility, we inform the client immediately.