Eligibility Verification

Determining eligibility with payers.

Verifying eligibility stands as the most efficient strategy for avoiding refusals of insurance claims. Our procedure commences by compiling a roster of scheduled appointments and confirming the patient's insurance coverage. Following the verification process, the particulars of coverage are promptly integrated into the appointment scheduler to notify office staff.

There exist three avenues for eligibility verification:

  • Online Method – Utilizing diverse insurance company websites and online payer platforms, we ascertain patient coverage.

  • Automated Voice System (IVR) – Contacting insurance companies directly, an interactive voice response system furnishes the eligibility status.
  • Direct Call to Insurance Company Representative – When necessary, reaching out to an insurance company representative provides a more comprehensive benefits overview for specific payers, especially in cases where such information is unavailable through websites or automated phone systems.

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