Eligibility Verification / Pre-Authorization

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Eligibility Verification Service makes sure that the insurance claims of your patients are checked thoroughly so that they are eligible for the reimbursement. Hence, the smooth flow of the Revenue Cycle Managementof a healthcare system is directly proportional to the efficiency of the eligibility Verification service that you have employed. Most of the claims are denied just because they are billed to a wrong insurance carrier or someone not standing tall on the eligibility status. Thus a quick and detail minute check of patients credibility goes high just before their admission to the hospital. We understand this well and hence offer a strong eligibility verification service to make your claims immune against insurance denials.

Our approach:

We aim to boost your Revenue Cycle Management through providing an Eligibility

Verification service that will guaranty towards achieving 100% acceptance of claims and for that we do the followings;

  • Get in touch with patients to collect information upon receiving their hospital schedules through email, FTP or fax
  • Verify their status as both primary & secondary payers
  • Update their demographic and other details
  • Update the billing system with verification and eligibility details like coverage start and end dates, group ID, member ID, co-pay information, etc.


Having us at your side will

  • Make your claims immune to insurance denials
  • Streamline your service
  • Speed up the billing cycle
  • Increase work efficiency
  • Ensure you to full payment collection
  • Avail you Expedite approval and authorization

Why us?

We will

  • Improve collections and minimize delays
  • Offer you skilled professionals coupled with advanced technology
  • Handle your critical medical bills
  • Take your customer's call
  • Check the details like Co-pays, Payable Benefits, deductibles, co-insurance, Patient policy status, etc.
  • Update Plan exclusions, Plan type and coverage details, Effective date, Pre-authorization, and referrals, Claims mailing address, etc.

Apart from that, we can keep a tap on the recent health insurance policies to make sure that your patients can avail maximum medical reimbursement. The experts have their knowledge up to date with current health terminology to offer your quick-processing service thereby aiding towards a healthy Revenue Cycle Management.

So what are you waiting for? Get in touch with us today!

  • We will reduce your denials percentage
  • We have a 95% average collection ratio