Medical Insurance Eligibility Verification Services
Reduce claim denials by 31%! Instead of manually sifting through multiple documents, partner with TRCB for faster coverage checks. Our comprehensive insurance eligibility verification services help you avoid unnecessary billing complications, including claim denials, payment delays, and rework. Contact us 0-pand eliminate verification gaps from your billing process.
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< 30
Days in AR
25-30%
Revenue Increase
98%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
Health Insurance Eligibility Verification Services We Offer
In the world of medical billing, prevention is better than rejection. Insurance eligibility verification services are essential for avoiding claim denials. The process allows you to explore plan benefits and improves your clean claim rates. A meticulous eligibility confirmation process confirms the status of a patient’s insurance plan, identifies medical coverage, and clarifies the patient’s financial responsibility.
TRCB efficiently handles this time-consuming task! Our dedicated insurance validation team carries out multiple verification and authorization checks in advance several days before the patient’s appointment date. We save you valuable time and money by collecting the most up-to-date information about your patients’ benefits.
Advabced Eligibility Checks
We perform comprehensive checks via a combination of human experties and advanced tools. Our team confirms everything about a patient's insurance coverage, including benefits and limitations, before services are provided, to help you avoid underpayments or claims denials.
Multiple Payer Identification
If a patient has multiple Insurance plans by different payers, we verify the correct payment order between primary and secondary payers by reviewing the Coordinatons of Benefits (COB). This helps you avoid billing confusion and payment delays when sending claims to the concerned payers.
Timely Eligibility Audits
Our meticulous auditing process ensures that a patient's insurance eligibility and benefits are correctly verified before you proceed with their treatment. Our team cross-checks information on the admission form, patients' medical records, and insurance plans to identify inconsistencies.
Scalable Solutions and Reporting
At TRCB, we prioritize flexibility. Our team uses the latest technology and gold-standard verification methods to adapt to your changing workflows or requirements. Moreover, we provide real t ime insights into your verification trends Via customized reporting.
Our Insurance Eligibility Verification Process
Secure timely payments for every claim with our streamlined insurance eligibility verification workflow! Our proactive 6-step patient verification process includes everything, from gathering patient information to accurate documentation and obtaining prior authorization. Here is how we bring it all together.
1. Gather Patient Information
We start our insurance eligibility verification process by collecting relevant patient information, including demographic details, insurance ID, payer details, and policy number. This step gives us all the information we need to accurately verify the patient’s insurance eligibility.
2. Verify Plan Coverage
Next, our experts visit the concerned insurance companies’ websites or portals to validate patient details. We also contact insurance payers to confirm that the patient information, such as plan type, policy number, copays, deductibles, network participation, and coverage exclusions, is up to date.
3. Evaluate Coordination of Benefits
Some patients have multiple insurance plans for different purposes. Therefore, we evaluate the Coordination of Benefits (COB) between primary and secondary payers to determine payment responsibilities and avoid billing errors. This step clarifies payment order and coverage limitations.
4. Obtain Prior Authorization
Next, we identify services or treatments that require prior authorization. In cases where a pre-authorization is necessary, we fast-track the process to secure written approvals from the insurance payer, minimizing the risk of treatment delays and possible claim denials.
5. Update the Database
After confirming everything with the patient and payer, we update all the information, such as plan benefits, exclusions, and limitations, in your database or practice management software. This step helps us maintain accurate patient records and simplifies the claim submission process.
6. Document Everything
The last step of our medical insurance eligibility verification workflow involves precise and complete documentation. We document all the verified patient information to ensure clean claim submission. Our team also creates detailed reports for future reference, board reviews, audits, or follow-ups.
Benefits of Outsourcing Insurance Verification to TRCB
Start strong to end strong! Insurance eligibility verification is the first step of an efficient billing process. Unfortunately, it is quite time-consuming and monotonous, often pulling your staff away from more critical tasks. A high volume of information, inconsistent data, heavy workload, and lack of time and resources lead many practices to make mistakes during health insurance eligibility verification, which results in payment denials.
Why spend days verifying a patient’s insurance coverage when we can do it faster and better? At TRCB, we set the foundation for a successful billing process. Our insurance eligibility verification experts identify issues at the start so you can avoid billing delays and patient dissatisfaction.
Trained Team of Experts
Struggling with insurance complexities? Let us verify everything! At MediBillMD, we have a separate team for coverage verification. Moreover, we regularly train our specialists so they can manage even the most complicated insurance eligibility verification cases.
Faster Verification
Faster verification for faster payments! Outsource your insurance validation process to MediBillMD to benefit from our quick turnaround time. Our strategic approach and proactive follow-ups lead to quicker approvals and faster reimbursement cycles.
Reduced Administrative Burden
We improve your overall productivity. Our insurance verification team manages everything, from collecting relevant information and verifying insurance details to updating your database so you can give more time to your patients.
Cost Savings
Reduce overhead costs and improve accuracy! Choose TRCB to avoid spending on training, staffing, and technology. Our dedicated team handles insurance verification more efficiently, reducing costly errors and helping you save money.
Serving Hospitals Across the USA
Enjoy faster verification across the nation! Our insurance eligibility verification services are now available in all states. So, wherever your practice might be, don’t hesitate to contact our expert team to unburden your administrative staff. Let us help you with coverage checks and quicker approvals so your patients don’t have to wait for their right to access quality healthcare. Contact us to access our support.
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We Support Across All Healthcare Specialties
Experience the difference with round-the-clock support! At TRCB, we are available 24/7 to resolve your problems. Our team has the experience and knowledge to assist you with any question or concern, regardless of your practice type. From gynecology and podiatry to cardiology and primary care, we can handle medical insurance eligibility verification for all healthcare specialties
Competitive Pricing Guaranteed
Insurance verification at the lowest prices! At TRCB, we perform accurate and up-to-date eligibility checks without charging a fortune. So, if you want an efficient and affordable process, contact us for our expertise.
Get In Touch with an Insurance Verification Specialist
Have some questions about insurance verification? Our specialists are just a call away! Contact us to get clear answers to your problems. Let us guide you through every verification step.
Frequently Asked Questions
Answers To Common Questions
What is Insurance eligibility verification?
Insurance eligibility verification is a crucial step in medical billing. In fact, it sets the foundation for quicker reimbursements. It usually involves verifying all the details of a patient’s insurance coverage, including benefits, limitations, and eligibility for a specific treatment. Healthcare providers must perform this process in advance – before providing any medical treatment to a patient – to avoid claim denials.
What measures do you take to ensure accuracy and protect patient information throughout the insurance eligibility verification process?
We take several measures to ensure the accuracy and security of patient data. To reduce manual errors, we use the latest technology to record every patient’s information, regularly update our database, and frequently perform eligibility checks – before each visit to be more specific. On the other hand, we implement strict access controls, establish secure communication channels, and conduct regular security checks to protect your patients’ data in accordance with the HIPAA rulebook.
Why is insurance eligibility verification beneficial for patients?
Insurance eligibility verification protects patients from unexpected costs (surprise billing) by notifying them about their financial responsibilities in advance.
Do you offer medical insurance verification services for both new and existing patients?
Yes, we offer medical insurance verification services for both new and existing patients. We work with our clients to customize our service plans according to their needs.
Why is medical insurance coverage verification crucial in healthcare?
Medical insurance coverage verification is crucial in healthcare to avoid claim denials.
Why is insurance eligibility verification beneficial for healthcare providers?
Insurance eligibility verification allows healthcare providers to avoid claim denials and improve their cash flow. In short, by confirming their patients’ insurance coverage in advance, healthcare providers can deny uncovered services, obtain necessary authorization for specialized services, and receive timely payments from both insurance companies and patients.
TRCB provides VIP, white glove revenue cycle management for healthcare organizations to maximize your revenue, reduce denials, and ensure faster reimbursements.
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