Patient Eligibility Verification
Healthcare Eligibility Verification
Healthcare Eligibility Verification
Since the Affordable Care Act was passed, proving one’s eligibility for insurance is more important than before. Nowadays, an ACA patient may get insurance for one month and fail to pay for it in months two and three due to Healthcare Eligibility Verification. In the first month of the grace period (eligibility), all claims for services supplied must be paid by qualified health plans. In the third or second month, carriers will pay claims; at that point, the patient has to pay their insurance premium or reimburse the provider for services already received.
A patient’s insurance eligibility must be verified to guarantee that the patient is covered, that the services being rendered are covered, that denials and appeals can be reduced, and that payments are made quickly and at the proper rates. Rejected claims because of inactive coverage, out-of-network, unapproved patient procedures, or visits can result in significant financial losses and should not be treated carelessly.
Healthcare Insurance
Patient Eligibility Verification
For over 7 years, Elegance Healthcare LLC has been a top medical billing company providing Insurance Eligibility Verification services to its clientele. If necessary, the service can be provided “stand-alone” or as part of the complete revenue cycle management package.
Elegance Healthcare LLC provides this service at two levels. The first level is a simple insurance eligibility verification that obtains the patient’s coverage information along with any applicable co-pays and deductibles. The second stage is even more comprehensive and entails obtaining eligibility that is “code specific,” along with lifetime or annual maximum restrictions and authorizations as needed.
Insurance eligibility verification combined with our medical billing and coding services will increase clean claims, improve cash flow, reduce bad debt, and increase patient satisfaction. Healthcare eligibility verification combined with benefits information prior to services being rendered leads to fewer claim rejections and denials.
