Our Services
Streamline Eligibility, Maximize Revenue – Trust Us for Accurate Eligibility Checks!
At Medical Billing Soft we know that effectively verifying the patient’s eligibility is vital to the success of your practice. Our patient eligibility verification services provide end-to-end solutions for your practice, guaranteeing your claims’ accuracy and helping you maintain a smooth revenue pace. Let us take care of them for you so you do not have to worry about them while you tend to your patients.
Services We Provide
The Patient Eligibility Verification Services that we offer include full solutions to your practice requirements. Here’s how we can support you:
We verify patients’ insurance information instantly and help you determine coverage, co-payment, and deductible along with benefit information. It saves time and minimizes the chances of mistakes, so there are no unexpected results further in the process.
Our service identifies the patient’s primary and secondary insurance plans and checks their authorization with the insurer. These involve active policy, patient status, restrictions, or limitations on services amongst others.
All necessary authorization requirements are checked before services are offered to clients. By reviewing the previous authority and verifying it with the insurer, we ensure that there are no postponed or denied claims or services.
Our solution is also fully compliant with EHR/EMR systems to allow minimal data entry from your end. These integrations also help to speed up verifying, which will free up your staff’s time to be more dedicated towards the well-being of their patients.
We provide detailed eligibility reports that will give a detailed outlook on a patient’s insurance, co-payment, deductible and other financial aspects. We also provide you with industry trends that will assist you in managing your practice’s revenue cycle.
Request a Call Back
The Procedure: How We Do It
Our objective is to make patient eligibility verification fast, efficient, and without complications.
Collect Patient Information
- We first gather relevant patient data such as insurance details, member identification numbers, and other identification from your EHR/EMR system, fax or direct input. These are then transferred to the payer through a secure channel for an eligibility check.
Verify Insurance Coverage
- As soon as we obtain the patient’s details, we contact the insurance payer for immediate confirmation. This includes verifying primary and secondary coverage, co–payments, deductibles and exclusions. If the payer has any other additional conditions, they are also communicated to you immediately.
Check Prior Authorization
- If there are certain services that require the patient’s prior authorization. This information is obtained directly from the insurance companies in order to be certain whether the appropriate approvals have been issued.
Update Data and Report
- Once you receive results from the insurance company, the system is updated with actual data about your eligibility. This enables us to offer comprehensive reports so you can determine the status of your patient’s insurance.
Issue Eligibility Report
- We produce an eligibility report with summary of the insurance coverage, the copay and deductible, and excluded service as well as prior authorization. You'll have access to this information before proceeding with services to ensure that all necessary details are confirmed.
What Makes Medical Billing Soft So Successful as an ASC Billing Company?
Save time by letting our experts handle your repetitive tasks. Our proven Eligibility Verification strategies ensure you achieve better financial outcomes while prioritizing patient satisfaction.
Advantages Of Our Patient Eligibility Verification Services
By utilizing Medical Billing Soft’s eligibility verification services you have several benefits that will assist in enhancing your revenue cycle while minimizing your workloads.
Faster Claims Processing
If you authenticate consumers before service provision, then you can avoid time delays in the submission of claims. This reduces the possibility of rejected claims and also shortens the revenue cycle of the insurance firm.
Reduced Denials and Errors
We assist you in avoiding unnecessary denials by paying attention to the authorization and eligibility criteria before services are provided. These preventions reduce the possibility of claims being rejected because of wrong information or information that has been provided earlier.
Increased Cash Flow
If you pre-qualify patients for the insurance plans, patients are likely to pay their co-pays or deductibles before receiving treatment since they are aware of what their insurance covers and excludes. It also minimizes the cases of denied or delayed claims as a result of coverage.
Improved Accuracy
With real time eligibility verification, we are in a position to verify the accuracy of our patient data. Our automated system alerts you of any changes for failures like coverage, exclusions/ policy gaps to avoid these issues.
Time Savings for Your Staff
When you use automated eligibility checks, your employees have reduced workloads on jobs that can be done by the system which allows them to dedicate more time to do important tasks like handling patients and administrative duties.
Scalable and Flexible
No matter whether you are a solo practitioner or a large health centre, our services can be customized. Our pricing is flexible and fully customizable to meet each practice’s needs, and we are willing to work with any practice size.
Why Choose Medical Billing Soft for Eligibility Verification
Professional Team
Our team has extensive experience in working in eligibility verification, insurance policies, and payers. We are aware of the general and specifically detailed eligibility verification procedures and insurance schemes.
Advanced Automation Tools
Practice Management Software is a powerful tool that helps us accurately determine a patient’s eligibility right from our fingertips. It eliminates non-automated procedures and makes the verification process much faster and more efficient.
Integration with Your Systems
This saves time since we can directly connect to your EHR/EMR platforms, eliminating the issue of data replicates. This means that the verification process will be faster and more reliable compared to the normal way thus reducing on cost of administrative work.
Comprehensive Reporting
Our reporting system provides you with detailed eligibility reports so you can keep track of patients’ coverage and other features. This way you will end up with all the information you need for patient treatment as well as the financial responsibilities that involve.
Cost-Effective Solutions
Another potential issue that Medical Billing Soft offers help with is that you won’t have to hire specialists just to deal with eligibility verification. Our services offer an effective and cheap solution improving your practice’s revenues, increasing the speed and accuracy of payments.
Let’s Get Started
At Medical Billing Soft, you will find all the tools necessary to make the eligibility verification process as easy as possible. Are you prepared to enhance your revenue cycle and decrease undesirable paperwork?
Call or email us today to set up a demo or initial consultation and find out how we can simplify your practice through our eligibility verification services.
With the help of Medical Billing Soft’s Patient Eligibility Verification Services, you can get rid of those administrative issues, shorten the duration of payments, and create better experiences for your patients.
Let us take care of the rest so you can concentrate on the things that really matter – your patient.
