Patient eligibility verification is the method of verifying whether or not a patient is eligible for insurance coverage and the scope of that coverage. It includes confirmation of the patient’s insurance overdetermination of the extent of coverage, co-payment, eligibility check, coinsurance, deductible, and other matters that may affect the payment and claim submissions.
At MAVA Technologies, we provide a range of virtual staff to the providers who are directed for billing, coding, credentialing, and front-desk tasks. With us, you don’t need to worry about arranging and scheduling meetings and appointments. Our virtual medical assistants enhance your practice by handling administrative tasks, managing appointments, and organizing documentation. So, you may contact us to avail of our virtual assistance services, as we are here to handle all your billing and coding-related tasks.
The insurance eligibility verification services mean that our healthcare professionals correctly determine a patient’s insurance status and their service fee. This information is important to generate correct bills and avoid billing issues, which can lead to claim denial or late payment.
Our eligibility check helps in detecting any potential issues that might contribute to a claim rejection. Such elements include addressing issues with the patient’s insurance policy, such as policy expiration or treatments that are not included in the plan, to reduce the possibility of claims being denied.
We inform healthcare providers by determining eligibility about their financial obligations, such as co-payments, deductibles, and other charges that may be payable. Transparency also reduces incidences where the patients feel locked in as they receive their medical bills because of the mathematical understanding of their obligations.
This part of the revenue cycle requires medical insurance eligibility verification for the smooth running of operations. We inform healthcare providers about the patient’s eligibility with active insurance. Thus, it reduces the chances of providing services to uninsured or underinsured patients to enhance the profitability of the organization.
First and foremost, we get the patient’s information, consisting of, the full name, date of birth, or residence, and the insurance company. It also includes the name and number of the patient’s insurance card.
After that, we make copies of the patient’s insurance card, front and back, to validate if all the information is right. Then, go on to enter the patient’s information into the Electronic Health Record system, Practice Management, or Real-Time Eligibility application. Thus, we confirm all of the insurance information is correct and accurate in the system.
Furthermore, we electronically analyze the patient insurance coverage and the benefits of choosing the right type of insurance and services. Verifying insurance eligibility involves confirming a patient’s coverage details and benefits with their insurance provider for the services.
Our team of professionals has extensive training and expertise in negotiating the complexity of insurance plans, coverage, and benefits. We can swiftly and correctly review the patient’s eligibility check and benefits, minimizing mistakes and claim denials.
We employ cutting-edge technology to speed the verification process, which reduces administrative costs and increases productivity. Our technology enables us to speed up the verification process, saving time and money for your medical practice.
Our virtual staff is highly expert in billing, coding, credentialing, and front-desk management. We are well aware of current standards and regulations to meet accurate compliance. Thus, our main concern is to focus on smoothing the workflow through our polished skills and capabilities.
Our eligibility and benefit verification in medical billing can assist in increasing cash flow by lowering the number of rejected and denied claims. By confirming patient insurance information upfront, we can lessen the possibility of underpaid claims and denials.
Our solution is adaptable to meet the needs of your increasing practice. As your practice grows, the verification process becomes more challenging and time-consuming. We can swiftly build up the verification operation without requiring more personnel or resources.
We obtain information about the insurance policy number, insurance company name, type of plan, co-payment, coinsurance, and deductible amounts during eligibility and benefits verification. This information verifies the eligibility of a patient to receive medical care, the extent of coverage available for such treatment, and, where necessary, patient liability.
Similarly, the process of eligibility and benefits determination is becoming ever more complex with changes in insurance plans. Likewise, healthcare professionals need to stay up to date about newer laws and regulations. When the verification of eligibility and benefits process is not done appropriately, then it will cause denials, delays in payment, unhappy patients, and a negative impact on revenue.
