Imagine a day in your clinic where every new patient had eligibility verification and pre-authorizations done and available to you, without a single member of your staff spending a minute on hold with an insurance company - all for a fraction of the cost of doing this in-house.
Eligibility Verification is a powerful and effective service to combat claim denials for reasons such as 'non-covered service' and denials due to lack of eligibility and pre-authorizations.
You'll see lower denials and a happier, more productive staff. A happy practice makes more money.
Our service includes a summary of communication with the payer and provides you with all relevant information - in many cases, before a patient walks into your clinic.
We have a large team of specially trained callers who pick up the phone and call the appropriate insurance company for every single patient and provide you with detailed information before you start treatment.
The number one problem with claim denials - inaccurate benefits information and pre-authorizations is solved. Watch your claims get paid and your reimbursements skyrocket.
It costs less to invest in our specially trained team to handle eligibility calls than to have your internal staff waste endless hours on the phone.
Your staff should be spending time on other important tasks to improve patient experience and grow your practice, not sitting on hold with an insurance company.
You get current information about all patient benefits and can be assured that your claims won’t be denied due to eligibility or pre-authorization issues.
Whether it takes us 5 minutes or 60, we'll stay on the phone with the payer as long as needed to get you all the information to submit a clean claim and get paid. When you use our eligibility verification and pre-authorization service, you’ll save money, collect more from payers, and grow your practice.
The cost is $8 per patient with a monthly minimum of 50 verifications / pre-authorizations.
If this number is not reached, we will charge the minimum charge for 50 verifications, which is $400 for that month. No carry forward. If you see 5-8 new patients a week, you'll easily reach the monthly minimum because you'll do 5-8 verifications a week, plus additional verifications during re-evaluations / progress notes (highly recommended). You will also need pre-authorizations for many of your patients.
Our pricing model is simple and transparent - no contracts and you can cancel anytime.
If you pay a staff member $15/hr, and they spend 45 minutes getting eligibility information, entering this information into your EMR and filling out authorization forms, you've now invested about $10 into the eligibility verification for that patient, and you may still end up with incomplete / inaccurate information, which ends up costing you much more.
We Make the Calls
We call the payer, and stay on hold for as long as it takes to get you the information you need.
We Know What to Ask
We know exactly whom to call, and what to ask. You'll have the information the second we do. We become an extension of your facility.
We Access Payer Portals
Payers regularly make policy changes without notifying you, and most patients don’t know their current policy benefits. We access payer portals to get you authorizations, and we help you stay current.
No Fine Print
Month to month. No contracts. Keep us around if you're happy.
Secure, Encrypted Data
We use a 100% secure, encrypted HIPAA protected communication channel to send you all patient data.
We verify all patient benefits & obtain pre-authorizations, so you can discuss payment options with patients before beginning treatment.