Eligibility Verification

Our Approach to Eligibility Verification:

_Patient Schedule Integration_

Directly receiving patient schedules from the healthcare provider’s office, be it a hospital or a clinic, helps in planning and organizing the verification process efficiently.

_Accurate Demographic Information Entry_

Our team ensures precise entry of patient demographic details, which is fundamental in verifying eligibility and benefits correctly.

In-Network and Out-of-Network Benefits:

Determining whether the services are covered under in-network or out-of-network benefits, providing clarity on patient liability.

Navigating Insurance Complexities:

We handle various complexities like dual eligibility, third-party eligibility, and out-of-state verifications.

Comprehensive Coverage Verification and Benefit Analysis:

System Updates with Payer Details:

After verifying eligibility, we update the hospital’s or practice’s revenue cycle system with all relevant payer details. This ensures that all the information is current and accurate.

Our Key Performance Indicators

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Different Services

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