Real-Time Eligibility and Benefit Verification
Eligibility and benefits verification services are key to ensuring accurate and timely claim processing. The absence of robust, real-time eligibility checks risks significant financial inefficiencies.
Robust Eligibility and Benefits Services
Verifying coverage on all payer types.- Resolving any missing or invalid data.
- Determination of authorization requirements.
- Strengthen your front-end collections.
The best time to verify patient insurance benefits is before their appointment.
Insurance Eligibility Verification Services and Prior Authorization
Set yourself up for success with automated eligibility and benefits verification services before medical service. Our experts carry out insurance verification and prior authorization checks as part of the billing process.
Coverage
Ensuring timely verification of patient coverage with all payer types, keeping patients’ accounts updated.
Benefits Options
We ensure patient information is updated, including payable benefits, deductibles and policy status.
Referral Authorizations
Identifying and documenting requirements of authorization or a referral to prevent revenue loss.
Accurate Documentation
Adequate and accurate documentation and recording of all benefits accurately to support seamless billing.
Deductibles, Co-pays, and Co-insurance
Ensuring the accurate estimate for patient deductibles amount, amount met, and co-pay or co-insurance.
Exceptional Workflow
Enhance patient outcomes and increase revenue with our optimized and efficient workflows.
How Our Services Help
Prevent Delays & Denials
Eligibility and benefits verification are critical first steps before submitting a claim to an insurance plan payer. Incorrect insurance eligibility verification remains one of the top reasons for claims being rejected, delayed, or denied. All these eligibility issues cause payment delays that directly impact the physician's office cash flow. Maintaining a solid insurance verification process within the practice can reduce these types of denials and make your practice more efficient with the improved bottom line; we at BillingFreedom ensure correct benefits verification and determine the correct amounts a patient may owe. Discover how, together, we can transform your business insightfully.
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855-415-3472
Realtime & Automated Eligibility Checks
Insurance verification involves many complicated and time-consuming steps, and sometimes, verifying patients’ insurance coverage can be challenging due to complex systems and inconsistent data. The patient’s insurance coverage eligibility must be checked before the patient’s appointment to accurately report demographic information on insurance claims. BF has extensive knowledge and experience with government insurance as well as commercial insurance. We provide comprehensive and customized insurance eligibility verification services for all medical specialties and practices of all sizes. Our services included end-to-end insurance eligibility validation prior to appointments determining out-of-network, thus helping practices to prevent accounts from aging and becoming uncollectable.
Call us now855-415-3472
Our End-to-end Insurance Eligibility Verification Process
Every successful billing depends solely on the success of insurance eligibility verification. The crucial first step in the Revenue Cycle Management process
Patient Registration
Our eligibility & insurance verification process starts before the patient appointment.
Insurance Eligibility Verification
Verify coverage of the benefits with the patients primary and secondary payers.
Prior Authorization
Where required, we initiate prior authorizations requests and obtain approval for the treatment.
Update
We regularly update patient demographic information in practice management system.
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EHRs we work with
At BillingFreedom, we know the features and workarounds of your EHR system. If you have an existing EHR. BillingFreedom works with that EHR.
Eligibility & Benefits Verification FAQ’s
Why BillingFreedom
All the information you’ll ever need to run a successful healthcare organization.
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