Eligibility Verifications

Patient Appointments & Eligibility Verifications

Patient Insurance Eligibility is very important in Billing of a claims. Most of the denials is due to invalid Insurance information. Patient may be ineligible for benefits as the policy has been terminated or modified. We are doing Patient Appointments to get correct Insurance information from Patient through Patient Calling.

We have a separate team who works on Insurance Eligibility verification and also obtain Prior-Authorization, when the patient makes appointments. This helps us to receive payment from Insurance without any rejections or Denials

Our Eligibility services are as follows

  • Patient Details
  • Guarantor Details
  • Subscriber Details
  • Coverage Details
  • Referral from PCPs
  • Claim Mailing Addresses
  • PCP information

By using payer websites, automated voice responses and phone calls to payers to check member ID, group ID, coverage start and end dates.