Medical Insurance Verification

Quality Claims processing is the result of determined efforts towards accuracy and completeness at each scope of Medical Billing Service. This mandates the needs for Insurance Eligibility Verification which helps in achieving current and accurate information about the patient’s insurance coverage and benefits which is the primary requirement for clean claims and quality Medical Billing Service.

Insurance Eligibility Verification Process:

Insurance Eligibility Verification plays a major role in clean claim submission, increased first pass rate and higher reimbursement. The process ensures validating insurance coverage benefits and eliminate the possibilities of claim denials due to incorrect and inaccurate data. Nevertheless, this explains why “Medical Insurance Verification” should be the first steps towards cleaner claims and increased cash flow.

At e-care we have a standalone team of experts to handle “Insurance Eligibility and Benefit Verification” Below are the step by step streamlined methodology followed at e-care which helps achieve the best out of each claims:

• e-care access patients scheduling and Registration information received from clients for verification.
• Our team Verifies patients coverage information by calling the primary and secondary insurance or online portals, Verify Insurance coverage benefits and service level benefits in detail.
• Obtain “Prior Authorization” and referral numbers as and when required.
• Ascertain the payment responsibilities like Copay, deductibles, Co-Insurance and other coverage benefits.
• Update and edit the billing system accurately with current and accurate information gathered
• Identify and flag coverage exclusions or issues in patient eligibility and notify our clients.