Providing Services for Verifying Insurance Eligibility

Verification of insurance eligibility is the leading component of a well established revenue cycle management process, so if you are someone looking to restore your revenue cycle model while keeping up with your competitors, we are fully equipped to provide you with our insurance eligibility verification services. Here at Centre State Practice Management, we have gathered a team of experts and professionals who are devoted to provide you the best possible healthcare insurance verification services to protect you from pricey write-offs and denials through a process that generates clean claims quite rapidly.

The insurance eligibility verification services provided by us are managed by a skilled team of professionals who posses ample experience of handling all the requirements of insurance verification. We have established a distinct process that authenticates coverage and benefits from various sources by integrating the inquiry of eligibility of independent payers for precision of submitted claims and to produce the maximum degree of patient and provider satisfaction.

Our Unique Process to Provide Insurance Verification Services Includes:

  • Validating the patient's information such as benefits to be paid, deductibles, and claims mailing address, patient policy status and plan omissions.
  • Obtaining a certification number and consent for authorization demand prior to providing healthcare services as well as communicating with the client for further details.
  • Verifying the patients' coverage on all primary and secondary payers and renewing their accounts on time.
  • Trying our best to maintain the highest levels of precision and accuracy and maintaining communication with the client until the entire paperwork is completed.
  • Verifying the co-pays, co-insurances, deductibles and claims mailing addresses for flawless process.

Our Insurance Eligibility Verification Process

1

Registering the Patient

Registering the Patient

We start our verification process the instant a patient registers to obtain medical services

2

Verification of Insurance Eligibility

Verification of Insurance Eligibility

Once the patient has registered for acquiring medical attention, we go on to verify whether the patient fits the eligibility criteria and has suitable insurance coverage

3

Auditing Quality Check

Auditing Quality Check

We ensure to communicate with insurance companies to collect the approval for authorization requests and evaluate any errors and inconsistencies prior to claim submission

5

Collecting Revenues

Collecting Revenues

We carefully and consistently track the patients accounts to obtain refunds for claims, appeals or any misplaced billing information

Our Specialized Insurance Eligibility Verification Services

Confirming Documents

We pursue an organized approach beginning with collecting the information required to work on proof of a purchase. Our dedicated team follows efficient procedures to maintain the highest levels of accuracy to provide you with the best insurance eligibility verification services. The received documents analyzed and verified in accordance with the list of the necessary documents which ensures that the documents are properly authenticated fulfilling the needs of the insurance companies.

Verification of Patient's Insurance Coverage

We tend to be the most dependable companies you can count on to verify and confirm the coverage details of individual patients. Our team verifies patient’s insurance coverage by following up to the website of the insurance carrier and notes down the effective date of the policy, procedures, diagnosis and services that need to be covered under the limitations and exclusions of the policy.

Following Up Patient Information

We select different modes of maintaining prompt communication with the patient and collecting details regarding any missed or invalid information. Once you put your trust in outsourcing our insurance eligibility verification services, we make sure to keep check on all the necessary information and verify it regularly. Once we have enlisted all the benefits and policy limitations, our team ensure to communicate them to the patients so that they understand the financial aspects associated with medical procedures they ought to obtain.

Final Submission

The final report of insurance verification that we submit contains a detailed breakdown of benefits along details related to member ID, group ID, initiation and ending dates of the insurance coverage. The final report also contains details related to prior authorizations that may need to be attained to guarantee that the insurance coverage is appropriate to assist in the complete refund of claims.

Recognizing Improvements in the Business Process

Our aim is the establishment of an efficient billing and verification process. Our experts work specifically to identify any inconsistency with the data and resolve the problem right from where it originates. We make sure that we meet market demands, accomplish customer satisfaction and more rapid turnaround times.

Categorization of Insurance Verification

Our dedicated team that is always up-to-date with the regulatory standards. We work on categorizing our insurance verification services which helps us in regulating workflows and modifying current processes. Sorting these services makes it easier to re-train experts, employees and providers. This lets us recognize the categories with challenges and work at reforming them for increased number of fresh claims. We also conduct standard audits to enhance assertion processes and guarantee that the problems are resolved at the source.

Here's What Makes Our Insurance Verification Services the Best

1

Complete Compliance

Complete Compliance

We conform to the unyielding documented protocols to ensure our compliance with HIPPA.

2

Strict Data Encryption

Strict Data Encryption

We believe in the complete privacy of our user’s information and for this purpose we use all types of encryption techniques such as VPNs, firewalls etc during communication for data security assurance.

2

Extensive Training

Extensive Training

Our staff is regularly trained so as to keep them updated and well versed with the upcoming knowledge.

3

Rapid Audits for Claims

Rapid Audits for Claims

We frequently carry out thorough audits of insurance etiquettes to identify the arising errors and preventing their arousal thereafter to streamline our insurance verification process.

5

Soaring Precision

Soaring Precision

Our experts ensure to supply our clients with a highly accurate analysis of insurance and billing verification which assists them in taking measures necessary for the reimbursement of their payments.

5

Sophisticated Technological Capacities

Sophisticated Technological Capacities

We pull together sophisticated analytics competencies and advance technology to decrease costs, produce new pilots and accomplish higher levels of accuracy and diligence in our service

Get in touch!

  • REQUIRED FIELDS