Eligibility Verification & Claim Status Checking Simplified

Insurance eligibility verification is the detailed, step-by-step process of verifying a patients’ 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 for 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.

The insurance eligibility verification and claim status-checking process is, in general, time-consuming and arduous. Healthcare providers and patients alike find this process extremely complicated and are unaware of how the insurance mechanism works, leading to a poorly performing revenue cycle. According to recent reports, healthcare providers spend on average 30% of their annual income verifying patient insurance eligibility.

Insurance 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.

Introducing Bristol Bot®

At Bristol Healthcare Services, we are excited to announce the launch of our latest software - Bristol Bot®, a one-stop, cost-effective solution for simplifying and speeding up the eligibility verification and claim status checking process for healthcare providers. Utilizing Bristol Bot®, 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. Bristol Bot® 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.

Why Switch to Bristol Bot® ?

  • Multi-Network Connectivity: With over 900+ insurance providers signed up to our network, fetching and verifying patient insurance information is made effortless, efficient and expeditious.
  • Effortless Log-in: Verify insurance coverage with one username and password. No more calling, holding the line, faxing, or maintaining multiple user accounts for various payers.
  • Batch Uploads: Say goodbye to single uploads. Now check coverage details of multiple patients in one go. Download your patient list and upload it to Bristol Bot 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 quick and 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. Bristol Bot® 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: Bristol Bot® requires no installation or maintenance overhead – plus, you always use the latest version of the software.
  • Multi-Device Support & User-Friendly: Bristol Bot® enables users to access the software from any device - desktop, laptop. The interface is easy-to-use, with information displayed in a clear and easy-to-understand format.
  • Enhanced Patient-Care: As a practice grows, administrative work eats into time spent on quality patient care. Bristol Bot® assists in automating administrative processes so you can focus on what you do best - healthcare.
  • Lowered Expenses: Bristol Bot® assists providers in simplifying the eligibility verification and claim-status checking process, helping you save an average 70% on out-of-pocket expenses.

Bristol Bot® Workflow Process

  • Contact the payers to get the API details for integration.
  • Log into Bristol Bot® 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.
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