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Eligibility Verification & Claims Checking Simplified

At Bristol Healthcare Services, we continuously try and discover newer ways to simplify and streamline our client’s workflow using the latest tech. Hence the launch of our latest software - BristolBot™. A one-stop, cost-effective solution for simplifying and speeding up the eligibility verification and claim status checking process for healthcare providers. Utilizing BristolBot™ providers can now save on average 70% of their expenses on eligibility verification and claim status checking. It provides a faster and more efficient way to get reimbursed for services rendered.

BristolBot™ boasts end-to-end encryption and state-of-the-art security, ensuring patient-data confidentiality. Our data centers are SSAE-16 SOC-1, SOC-2 certified as well as HIPAA, HITECH, PCI-Level 1 DSS, NIST 800-53 compliant.

BristolBot™ Workflow Process

  • Contact the payers to get the API details for integration.
  • Log into BristolBot™ using the provided credentials.
  • Choose what your wish verify, eligibility or claim status.
  • Select single or batch upload format based on the requirement.
  • Update the details and submit for a single claim or upload the file with filled data and submit.
  • Get results in a few seconds for a single claim, and for multiple claims it depends on how many claims we have uploaded and the insurance used.
BristolByte software product package.
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The BristolBot™ Advantage.

  • Multi-Network Connectivity: With over 900+ insurance providers signed up to our network, fetching and verifying patient insurance information is made effortless, efficient, and quick.
  • Effortless Log-in: Verify insurance coverage with a single username and password. No more calling, holding the line, faxing, or maintaining multiple user accounts for various payers.
  • Batch Uploads: Say goodbye to time-consuming uploads. Now check the coverage details of multiple patients in one go. Download your patient list and upload it to BristolBot™ to get the results in just a few seconds.
  • Real-Time Verification: Patients shouldn’t have to wait while your front desk personnel verifies medical coverage benefits. You can get coverage details – active, inactive, specific benefits, and more in just 3-5 seconds.
  • Hassle-Free Claim Status Check: We’ve tied-up up over 900+ insurance carriers to enable instant claim status checking. With the new ‘batch mode’ users can now check the status of multiple claims in one go. Also, our claim status trend assists you with root cause analysis for prevention of future denials.
  • Security & Safety: The safety and security of your practice and patient data (PHI) are of the highest importance. BristolBot™ data centers are SSAE-16 SOC-1, SOC-2 certified as well as HIPAA, HITECH, PCI-Level 1 DSS, NIST 800-53 compliant.
  • No Installation/Maintenance: BristolBot™ requires no installation or maintenance overhead – plus, you always use the latest version of the software.
  • Multi-Device Support & User-Friendly: BristolBot™ enables users to access the software from any device - desktop, laptop, tablet, or mobile. The interface is easy-to-use, with information displayed in a clear and easy-to-understand format.

Why Verify Insurance Eligibility?

Insurance eligibility verification is the detailed, step-by-step process of verifying a patient’s insurance coverage and eligibility status before admission/treatment. Verification of a patients’ eligibility is vital in all encounters, be it in-patient, out-patient, or ambulatory care. Improper verification is the leading cause of denied claims and unpaid bills. Thus a quick yet detailed insurance eligibility verification before admitting a patient ensures a healthy bottom line for your practice.

Eligibility Verification Process

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    Collect Information:

    Contact the hospital, clinic, or patient and collect relevant demographic information for processing.
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    Contact concerned insurance carried to verify patient information. This includes verification of payable benefits, co-pays, co-insurance, deductibles, plan & coverage details, plan exclusions, referrals and pre-authorizations, etc.
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    Update Records:

    Further to verification, the patient’s records are updated with verification and eligibility details like coverage start and end dates, group ID, member ID, co-pay information, etc.,

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