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Insurance Eligibility

With ecare, denials due to improper eligibility
verification are history…

Getting the claims accepted, on the first submission!

Insurance eligibility verification is the most important and the first step in the medical billing process. Researches confirm that most of the claims are denied or delayed due to inadequate or incorrect coverage information provided by the patients during visits and current coverage information not updated by the office / hospital staff. This directly boils down to lack of or improper insurance eligibility verification.

Why opt for insurance eligibility verification

Insurance companies regularly make policy changes and updates in their health plans. Therefore, it is inevitable for the medical billing company or the provider to verify if the patient is covered under the new plan to help achieve maximum benefits of insurance eligibility verification. Confirming the insurance coverage facilitates acceptance of the claim on the first submission, whereas, non-verification leads to several discomforts like rework, decreased patient satisfaction and increased errors other than causing delays and denials.

At ecare India, we understand the importance of insurance eligibility verification.

We help in reducing our clients’ revenue cycle

We minimize delays and denials considerably

We improve collections by reducing write-offs

Insurance eligibility verification process at ecare :

Receive Schedules of patients via EDI, email or fax or check them every day in the appointment scheduling software.

Verify patients’ insurance coverage with primary and secondary payers by making calls to the payers and checking through their authorized online insurance portals. We also contact patients for additional information, if required

Update the medical billing system with eligibility and verification details such as member ID, group ID, coverage period, and co-pay information and other benefit information.

In case of issues regarding a patient's eligibility, we inform the client immediately

Our insurance verification team does effective verification of insurance thereby aiding dramatic reduction of the clients’ accounts receivable cycle. We ensure that all the claims sent to the insurance companies are “clean claims”, and that there is no delay in payment. Our insurance eligibility verification services ensure that the maximum benefits are achieved and time is saved.

Read our blog post on insurance eligibility verification to know more about its benefits.

insurance eligibility verification process

We Deliver
100% Verification of insurance before filing
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