Medical Eligibility Verification Services
Eligibility and Benefits Verification Service
In addition to human error, a primary reason for claim denials is inaccurate or outdated insurance information. Medical eligibility verification services can help ensure that insurance details are accurate and up-to-date. Collecting correct co-pays after the service is provided is often challenging and time-consuming.
The Patient Eligibility Verification Process
The verification process begins by gathering basic information from patients' insurance identification cards, which is then cross-checked with provider and plan data to validate:
- Name and Address Information
- Effective Date of Coverage
- Current Patient and Dependent Eligibility
- In-Network Coverage
- Type of Plan
- Payable Benefits
- Procedures Covered By the Plan
- Co-Pay, Deductible and Co-Insurance Patient Responsibilities
- Claims Mailing Address
- Referral and Pre-Authorization Requirements
- Pre-Existing Conditions Clause
- Maximum Daily and Lifetime Benefit Amounts
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Benefits of Insurance Eligibility Verification
Consistent insurance eligibility verification ensures your medical practice submits more accurate claims and receives higher upfront payments from patients. Additional benefits include:
Why Choose Medyra Tech?
Our team of experts stays updated with the latest payer policies, ensuring that patient insurance details are accurate and up-to-date before each visit. By verifying coverage and benefits upfront, we help you collect accurate co-pays, minimize billing errors, and avoid costly delays.
Our software systems feature integrated real-time insurance eligibility checks, including co-pays, co-insurance, and deductible balances. Strategically placed icons at key touchpoints allow your practice to quickly verify insurance coverage in real-time.
The MedyRatech Batch Eligibility feature eliminates the need for manual eligibility verification.
Eligibility is automatically verified for all scheduled patient appointments. You can set up an automatic schedule for eligibility checks, allowing your front office team to proactively gather the necessary information from patients.
Easily schedule automatic eligibility checks at multiple care and billing touchpoints with the accessible eligibility response button.
Verify, compare, flag, and update demographic data against insurance records. Identify any discrepancies in address, spelling, or subscriber details that could impact patient collections. Gain valuable insights into essential patient validation information to make more informed decisions for your practice.
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Have questions about our Accounts Receivable services or need assistance with your billing? Our team is here to help.
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