Eligibility, and Benefits Verification

Prior to providing services, improper benefit information verification causes the majority of claim denials. Prior authorization and insurance eligibility verification are the first and most important stages in the medical billing process. Inpatient, outpatient, and ambulatory care encounters all involve the insurance verification process.

It will make sure that the hospital or doctor’s office is paid for the services provided and will aid in determining the patient’s responsibility—also known as their portion of the hospital bill—for those costs. Verifying a patient’s eligibility involves confirming the validity of his or her claims and confirming the patient’s active coverage with the insurance provider.

Coverage and eligibility benefits should be verified for

• All new patients
• Hospital admissions
• Any patient who indicates a change to their coverage
• For all high dollar procedures

Insurance verifiers should confirm the below mentioned insurance information for a new patient

• Patient’s name and DOB
• Name of the primary insured
• Social security number of primary insured
• Payer
• ID number
• Insurance Group number
• Contact information, such as a phone number, website, and address, for submitting claims

Outsource to a Reliable Service Provider

Why not contract with a third party to handle your insurance verification needs to decrease the workload on your front desk staff? Medsafe Healthcare Solutions, Inc., can assist with your insurance verification burden. Your claims can be processed and billed accurately by our experts to avoid having them consistently rejected or denied.

The following are a few advantages of outsourcing your insurance verification services:

• Reduced time and effort
• Speed up approval and authorization
• Simplified workflow
• Faster billing cycles
• Staff productivity Improved
• Reducing operational costs

You can get assistance from Medsafe. Our highly qualified and competent insurance verifiers can do the task in place of your front desk staff with our Eligibility and Benefits Verification Service. Your front desk employees can now concentrate more on patient interaction and engage in more hands-on work for duties that call for their physical presence. Schedule a conversation session right away to find out more about how we can assist you!