Eligibility and Benefit Verification

For most of the cases, practice revenue burns because of issues related to insurance coverage and member benefits. Many claims are denied because of the not verified eligibility and benefit or the service or patients not covered by the plan providers. Unfortunately, it is one of the most neglected processes in the revenue cycle chain.

In this way, a huge revenue is lost and can be saved if the health care providers establish an insurance verification process or get eligibility and benefit verification services from a professional company like Advantage Medical Billing.

Our eligibility and benefit verification services can reduce different types of denials, making billing practices more efficient and increasing your overall bottom line revenue. We ensure the patient benefit and insurance eligibility is verified before the clinical services are provided.In contrast, Ineffective eligibility and benefits verification and/or prior authorization processes can result in increased claim denials, delayed payments, additional effort on rework, delays in patient access to care, decreased patient satisfaction, and non-payment of claims.

Our team members will do the following steps as a part of effective and productive verification processes:

Receive patient schedule from the healthcare provider’s office – hospital and/or clinic
Perform entry of patient demographic information
Verify coverage of benefits with the patient’s primary and secondary payers:
Coverage – whether the patient has valid coverage on the date of service
Benefit options – patient responsibility for co-pays, co-insurance, and deductibles
Where required, the team will initiate prior authorization requests and obtain approval for the treatment.
Update the service provider’s revenue cycle system or the practice management system with the details obtained from the payers.

BENIFITS

Reliable services for all your medical billing and coding hassles

TrueCare RCM will increase your collection rates, decrease rates of denied claims, reduce your account receivables, provide you with a clear graph of your practice performance and financials. Our services manage and simplify every step of the practice management from scheduling the appointment to billing and revenue collection.

We have a very experienced and competent team of medical billers, who have over 10 years of experience in the billing industry. Our team is very well aware of the advancements in health insurance companies and updates regarding state laws. In this way, Advantage’s best in class services provide clients with the support to run their practice effectively and efficiently taking practice management and revenue collection to new levels.

TrueCare

Why Choose us

Increase revenue by reducing administrative costs.
Tailored medical billing services according to the unique needs of your specialty.
Customized and streamlined credentialing services for providers of all sizes.
Advanced practice management tools that provide financial and practice analysis tools.
Comprehensive and fast sign up process.