Setting realistic expectations and reducing financial surprises are the hallmarks of effective healthcare management. Our Verification of Benefits service goes beyond a rudimentary assessment, providing a comprehensive review of a patient’s insurance coverage. This pivotal step ensures that both the healthcare provider and the patient are aligned on what services are necessary and covered under the patient’s insurance plan.
Key Features
- Detailed Coverage Analysis: Our team delves deep into the specifics of a patient’s insurance plan, examining not just primary but also any secondary or tertiary coverages that might apply.
- Pre-Authorization: When necessary, we obtain pre-authorizations for procedures, thereby reducing the likelihood of denied claims and unexpected out-of-pocket expenses for patients.
- Insurance Verification: Using the latest technology, we offer quick verification services, allowing for more agile and informed decision-making.
- Billing Accuracy: Knowing the full scope of coverage allows for more accurate billing, reducing the likelihood of errors that can lead to financial losses or patient dissatisfaction.
- Patient Counseling: We offer consultation services to educate patients on their coverage, helping them make informed decisions about their healthcare choices.
- Compliance Check: Our service ensures that you remain compliant with the insurance providers’ policies as well as legal requirements, thereby minimizing risks of non-compliance penalties.
- Reimbursement Rates: We even gather reimbursement percentages and have over 6 million claims worth of data which is area specific to help you decide what types of policies you want to approve or deny. This is extremely important for Out of Network providers.
By incorporating our Verification of Benefits service into your healthcare operation, you aren’t just mitigating risks; you’re building a transparent and trust-based relationship with the potential patient and their insurance provider.
