Getting the claims accepted, on the first submission!

Insurance verification is one of the important steps in medical billing process, which could led to hastening of medical billing process. Millions of claims were denied because eligibility of the patient had expired or the patient or service was not covered by the plan in question. Also a lack of or incomplete eligibility verification can hamper your claims payout.

Why opt for insurance eligibility verification

It’s always important that we put a solid insurance verification process in place; this can reduce most of denials in your practice, making medical billing practices more efficient and raising your overall bottom line.

In order to avoid claim rejection, the verification process must be done before the patient is admitted into a hospital. Otherwise, it might lead to denials. Many a time’s patients would be ineligible for benefits when they provide wrong or outdated information, or when their policies have been terminated or modified. A simple error can result in claim rejection or denial, so you have to be sure it is being done correctly.

Insurance eligibility verification process at Urcare :

 Create a Verification Checklist:

In order to make sure that we don’t miss out any details; we make a checklist which contain all the necessary questions to be asked from the patient and keep record of it.

 Get a Copy of the Patient’s Insurance Card

It’s always good to keep electronic information backup in your system to verify the information provided by the patient.

 Contact the Insurance Provider

We contact the insurance company directly to keep updated with any change in insurance policies or not.

 Record Accurate Information

Record of each patient is checked and stored correctly after passing various level of verification.

 Follow Up With Patient as Needed

Be always keep in contact with patient if there is any question or concern.

Outsourcing Process Flow Chart

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