Insurance Verification | Eligibility authorization | Proir Authorization / Eligibility Authorization

One of the most important components of medical billing is insurance verification. We at Indiagt, provide insurance verification services that are focused on reducing claim denials, and ensuring reimbursement. Essentially, we take the drudge work out of insurance claims for you. If you find that verifying insurance claims is taking up time and using staff resources that could be allocated elsewhere, outsourcing your insurance verification services could be the ideal solution.

As a healthcare provider in today’s marketplace, you know how important it is to maximize collections, not just from patients, but from insurance providers too. That’s why you need a company that can deliver accurate verifications and authorizations every time. Most often, when a claim is denied, it is because the patient is ineligible due to modifications in the insurance policy, or because the policy has been cancelled. Additionally, incorrect co-pay and deductible information can also result in delayed payment at best, or denial at worst.

With our insurance verification service, you don’t have to worry about verifying primary and secondary benefits, patient details, co-insurance, co-pays, deductibles, policy status and dates, coverage details, type of plan, and so forth. We verify everything, and double-check the information before we submit the claim.

Our Insurance Verification Service has potential to :

• Improve Account Receivable
• Increased number of clean claims
• Increase cash collections by reducing write-offs and denials

Our Insurance Verification Service Include :

• Receive Schedules from the Hospital via EDI, email or fax
• Verify coverage on all Primary and Secondary (if applicable) Payers by utilizing sites like WebMD, Payer Web Sites, Automated Voice Responses and phone calls to Payers
• Contact patient for information if necessary
• Provide the client with the results which include eligibility and benefits information such as member ID, group ID, coverage end and start dates, co-pay information and much more

Related to Insurance Verification Services :

• Obtain Pre- Authorization Number
• Obtain referral from PCP
• Enter/update Patient demographics
• Remind patient of POS collection requirements
• Inform client if there is an issue with coverage or Authorization
• Medicaid Enrollment

By outsourcing your insurance verification to us, you will have fewer rejections, fewer delays, less paperwork, and none of the stress of dealing with the complexities of insurance verification in-house. Our team is available to you 24 X 7, This means that your practice will be more efficient, and you can focus on patient care instead of paperwork. We serve medical facilities of all types and sizes.

We specialize in :

• Insurance Verification / Eligibility authorization
• Medical Billing
• AR follow-up
• Charge Capture
• Claims Generation
• Collections
• Records Management
• Medical Transcription

Features:

• Detailed call log for every patient.
• 45 calls monthly average.
• Authorization done 3 days prior to visit.
• We are committed to comply Health Insurance Portability and Accountability Act (HIPAA) of 1996.
• Assured cost savings up to 40% compared to having in house staff doing insurance verification.