Eligibility & Benefits Verification
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Clients’ Claims For Cash Flow
It is essential to include the authorization and verification process at the beginning of the revenue management cycle. Medisensei Health will verify the information about the patient’s screen during the eligibility verification process.
- Our process is defined as follows:
- Dates for implementation
- Plan exceptions
- Benefits
- Details of coverage
- Co-Pays and Co-Insurance Details
- Pre-authorization Number
- Comparing patient information with insurance information
GUARANTOR/ACCOUNT DETAILS
The name of the person, their date of birth, home, office, and mobile phone numbers as well as their addresses must be included.
Guarantor/account Details
The name of the person, their date of birth, home, office, and mobile phone numbers as well as their addresses must be included.
Details of Insurance
You will need the following information:
- Insurance Identification Number (IIN)
- Name and Address of Insurance Company
- Name or Number of Group
- Dates and Termination of Insurance Policy
- Policy number
- Name of Insured
- Date of birth
- Relationship between insured and patient
Our first step is to identify any errors or gaps in information. Verifying eligibility using our highly efficient process can help eliminate uncollected revenue
Prior authorization can prevent the following:
- Reduction in the number of days for A/R.
- Data quality has been improved in the billing system.
- Registration & billing mistakes, low co-payments.
- Costs of billing and collection are reduced.
- Reduce bad debts to improve patient satisfaction.
- Facilitate the implementation and improvement of an effective financial counseling program.
- Rework is eliminated and reimbursements are streamlined
FAQ
What is the verification of eligibility?
Verifying the eligibility of a patient is a way to confirm the validity of their insurance claims, and ensure that they are covered by their insurance company.
How do you verify the eligibility of dependents?
The dependent eligibility verification is used to verify an individual’s eligibility under state law for dental and health coverage. Healthcare professionals must first verify the eligibility of any dependents before enrolling them in a health insurance plan.
What are the two functions of insurance verification?
Adi Health simplifies the complex process of submitting forms by making sure that they are correctly filled out. According to a report by the American Medical Association, pre-authorizations of prescription drugs have increased 20% each year. It is important to plan for the future now.