We Proactively Discover & Verify Patient Coverage
Insurance and eligibility verification services is the key to revenue cycle success. Determining proper patient coverage before the time of service is critical to reducing financial risk.
Streamlined Insurance Verification Process
Demographic information entry or update.- Verifying coverage on all primary and secondary payers.
- Confirming authorization for treatment.
- Updating the billing system with verified details.
Eligibility & Benefits Verification and Prior Authorization Services
BillingFreedom experts help you accelerate your accounts receivable cycle. We confirm the patient’s eligibility and obtain necessary prior authorization before the patient visits the physician’s office.
Coverage
Verify patients’ coverage on all primary and secondary payers and updating the patients accounts on time.
Referral Authorizations
Obtain pre-certification and obtain approval for the authorization prior scheduling to avoid revenue loss.
Co-Pays & Co-Insurances
Verify the co-pays, co-insurances, deductibles, and claims mailing addresses for seamless process.
Benefits Options
We update patient information, includes payable benefits, deductibles and patient policy status.
Document Checking
Maintain highest levels of accuracy and communication with the client till the completion of paperwork.
Patient Follow-up
If needed we contact the patient for a follow-up to seek any missing or incorrect information.
How Our Services Help
About Our Eligibility Verification Services:
Eligibility and Insurance verification are key processes performed in the initial phase of RCM or medical billing insurance claims process. Unfortunately, most medical billing claims are denied, rejected, or delayed due to incorrect or inadequate coverage details provided by the patient or when coverage details need to be updated by physician front office staff. All these eligibility issues cause delays in reimbursements that directly impact the cash flow of the physician’s office. At BillingFreedom, we have an expert team who are updated with all the regular changes in health plans and policies, which will prevent delays and denials of insurance claims. We have been offering Insurance Eligibility and verification services to physicians throughout the USA for over a decade. Discover, how together we can transform your business, insightfully.
Comprehensive & Customized:
Insurance verification involves many complicated and time-consuming steps. 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 end-to-end medical eligibility verification services improve patient collections and prevent accounts from aging and becoming uncollectable. Our QA team ensures 98% accuracy. We also record phone calls with the insurance representatives for QA purposes.
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.
Our Testaments
BillingFreedom has proven to be an invaluable asset to our private practice. I want to thank them for their professional help during the past two years. I have absolutely nothing but a lot of appreciation for helping us with Medical Billing services along with eligibility & benefits verification especially when our office manager Jani quit. Since then, we have been enjoying a non-problematic relationship.
Emberlynn James – Health Care Hospital
Eligibility & Benefits Verification FAQ’s
What eligibility coverage information is provided?
We confirm information such as coverage, copayments, deductibles, and coinsurance with a patient’s insurance company. This may also include other insurance coverage in effect, PCP, and eligibility status.
When is eligibility verified?
We make sure provision of billing alerts prior to patient appointment (48 hours before the visit) and report demographic information accurately.
What are eligibility verification best practices?
To decrease denials, AR days, and potential delays in revenue, patient eligibility and benefits verification play the most crucial role, and verifying patient coverage prior to a visit helps with the timely collection. We verify inactive plans and flag all such accounts. Check for primary, secondary, and tertiary insurance. Check for services covered under the patient’s insurance policy and whether a referral or prior authorization is needed.
What is your eligibility verification process?
Most payers have made available interfaces to check eligibility online by verifying eligibility electronically before the scheduled patient appointment. Sometimes, it may be necessary to call the payer with questions related to prior authorization requirements or clarify some eligibility and benefits elements.
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