Thursday, February 16, 2012

Fast and Efficient Insurance Verification Services for Healthcare Facilities

It is very important that health care providers understand the significance of fast and efficient insurance verification services. Health insurance verification plays a major role in a hospital’s claims denial management program. It is all about checking a patient’s active coverage with the insurance company and verifying the eligibility of his or her insurance claim.

Insurance eligibility verification is a necessity in healthcare facilities. In order to avoid claim rejection, each healthcare provider has to verify the insurance eligibility and coverage benefits of the patients before patient admission. Or else, it might lead to problems such as delayed payments, increased errors, non-payment of claims, patient dissatisfaction, and so on.  Therefore, insurance verification and authorization should be carried out before the patient arrives for the appointment.

Comprehensive Validation Process

Leading outsourcing companies provide speedy and error-free insurance verification services for healthcare facilities. This includes:

•    Receiving patient schedules from the hospital or clinics via FTP, email or fax
•    Verifying patients' insurance coverage on all primary and secondary (if applicable) payers
•    Verifying demographic information
•    Updating patient accounts
•    Making contact with patients for additional information if required
•    Updating the billing system with eligibility and benefits details such as group ID, member ID, coverage start and end dates, co-pay information and much more.

Benefits of Availing of Health Insurance Verification Services

Hiring insurance eligibility verification services from a reliable outsourcing company allows healthcare facilities to benefit from the service of insurance authorization specialists. Equipped with the latest technology, this team of specialists can even handle high volume jobs.  These experts can ensure excellent support for the verification of payable benefits, patient details, pre-authorization number, co-pays, co-insurance details, deductibles, patient policy status, effective date, type of plan and coverage details, plan exclusions, claims mailing address, and more. 
Outsourcing insurance verifications and authorization tasks minimizes worries about lost revenue due to billing errors or delays in process. The service providers take care of the entire medical insurance verification process and ensure speedy reimbursement. Here are some of the reasons why fast and efficient insurance verification services may be a great solution for healthcare facilities.

•    Faster billing cycles
•    Reduced operational costs
•    Minimize delays and denials considerably
•    Improve payment and collections
•    Improved staff productivity
•    Streamlined billing procedures
•    Free up staff to focus on more productive tasks
•    Reduce your risk factors
•    Reduced rework of claims
•    Expand company focus
•    Speed up approval and authorization
•    Simplified workflow

If you are planning to outsource insurance eligibility verification, try to find an outsourcing company that can deliver fast and efficient insurance verification services that meet your requirements and budget within the specified time period.

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