Insurance Eligibility Verification

 

It is happening more and more often, you treat a patient only to find out that their insurance is has been rejected. What should have been a simple claim submission has turned into a collection matter. Or, you now have your staff pre-certifying your patient’s insurance – exerting your resources and time verifying patient eligibility and benefits.  All of this tedious manual effort can quickly eliminate the profitability of these visits.

Practice Provider can help you check patient insurance eligibility before services are provided.

Improve Collections

Reduce the risk of lost revenue from patients without coverage. Get the correct reimbursement from the insurance company with the first billing.

Patient Collections

At the time of the appointment ensure the correct collection of deductibles and co-payments, associated with the patient’s current coverage and benefits.

Reduce Workload

Seamlessly integrated into Practice Management systemsm verification effortlessly becomes part of your normal workflow prior to patient treatment – without the need for burdensome manual procedures. No more phone calls or logging into multiple web sites.

Effective Coverage

Patients change insurance policies and insurance companies frequently. The insurance that you have on file may indicate valid dates, but the policy is no longer in effect. Ensure that your patient’s policy is in effect.

Eligibility

Policies vary greatly in treatments that patients are eligible for. Ensure that your patients are eligible for treatment prior to visit.

Benefit Analysis

Benefit caps & plan policies can cause denials for procedures that had previously been paid. Access insurance eligibility and benefit information in real-time, as well as other essential management information for commercial and government payers.