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.
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?
Eligibility Verification Process
-
Collect Information:
Contact the hospital, clinic, or patient and collect relevant demographic information for processing. -
Verification:
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. -
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.,
What Our Clients Say
Together with our clients, BHS experts partner to achieve desired outcomes
and push the boundaries of what's possible.
“Jay – Great. I really appreciate your in-depth analysis on our outstanding. Your AR recovery process has been excellent.”
“We greatly appreciate the conscientious nature of your team. Their concern for quality is clear in the work that they perform.”
“Your attention to detail is excellent. Thanks for catching my staff’s error. I just love talking to Ray about process improvements.”
“Jay! Thanks to you and your team for formulating a winning team! I am proud to be aligned with you guys!”
“Our partnership with Bristol proved to be a game-changer. Their expertise in revenue cycle management and their commitment to delivering excellent service has truly transformed our practice's financial outlook.”
“If it wasn’t for your verification team, I would’ve never known I needed authorization for this surgical procedure. They have consistently sent verified reports on time, every day.”
“I highly recommend Bristol to any healthcare provider seeking a reliable and efficient medical billing partner. Their commitment to excellence, attention to detail, and dedication to maximizing revenue has been instrumental in helping our practice thrive financially.”
“Do you guys ever sleep? Thank you for answering all my questions immediately. I can’t imagine what I will do without your team.”
“I thank your coders for clearing our four months backlog within two weeks. I appreciate all your recommendations, it surely helps to improve our documentation.”
“Partnering with Bristol has been one of the best decisions I've made for my clinic, and I am grateful for their invaluable support."
“You have consistently provided accurate billing entries for us. I thank the entire team for a job well done."
“Your follow-up methodology seems to be working. Our collections have been increasing month on month. Great job! Stay on it.”
“I wanted to pass on our appreciation for the work the Bristol team is doing on the new BristolByte™ Quick Save feature. I am quite impressed by the speed with which the team is making design changes and implementing a process that will surely save us time. We appreciate it!”
“Their team took the time to understand our practice’s unique needs and workflows to implement a personalized billing process that ensured improved reimbursement rates. We’ve now eliminated duplicate data entry, minimized errors, and saved our staff valuable time.“
“With their expertise in managing our billing processes, we have been able to focus on what truly matters – delivering outstanding orthopedic care to our patients.”
