Insurance verification services are helpful in hastening the medical billing process. Healthcare entities get to enjoy improved practice performance and productivity with these services.
The importance of health insurance verification and authorization services
1. Outsource strategies International Call: (800) 670 2809
The Importance of Health Insurance Verification and
Authorization Services
Most of the medical professionals may not have enough time to supervise
the medical insurance verification process and their staff may not be skilled
enough to carry out the eligibility verification process efficiently. This often
leads to a situation where you don't receive due payment for services
provided. So, it is very crucial that healthcare providers understand the
importance of insurance verification and authorization services in the
healthcare industry.
Insurance verification services and insurance authorization plays a vital
role in accelerating the medical billing process. It involves validating the
patient's insurance details and obtaining assurance by calling the insurance
payer or through online verification. The
process ensures verification of: payable
benefits, patient details, pre-authorization
number, co-pays, co-insurance details,
deductibles, patient policy status, effective
date, type of plan and coverage details,
plan exclusions, claims mailing address,
referrals & pre-authorizations, life time
maximum and more.
Comprehensive Health Insurance Verification and Authorization
The insurance verification and authorization process includes:
Health Insurance Verification
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• Ensuring benefits for all patients prior to submitting to the insurance
company for approval
• Getting patient schedules from the hospital or clinic via FTP, fax or e-
mail
• Verifying patient information with the insurance carrier (verification
of payable benefits, co-pays, co-insurances, deductibles, patient
policy status, effective date, type of plan and coverage details, plan
exclusions, claims mailing address, referrals and pre-authorizations,
life time maximum and more)
• Verifying patients’ insurance coverage on all primary and secondary
payers
• Updating patient accounts
• Communicating with patients and completing paperwork
• Updating insurance system with new and updated benefits
• Obtaining pre-certification number from physician’s office if
necessary
• Completing appropriate criteria sheets and authorization forms
• Contacting the insurance agencies via telephone call, facsimile or
online program to obtain approval for your authorization request
• Contacting insurance agencies for appeals, missing information and
more to ensure accurate billing
It is advisable to avail of insurance verification services to enjoy maximum
benefits. Outsourcing of health insurance verification and insurance
authorization allows healthcare professionals to focus on their core business
activities and provide quality healthcare.
Health Insurance Verification
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Professional Medical Billing Company for Maximum Efficiency
Try to partner with a professional medical billing company that can work as
an extension of your office. Normally, medical billing firms have a team of
professionals who work with patients as well as providers to verify medical
insurance coverage and generate claims for services rendered. They will also
provide complete support to obtain pre-certification and or prior
authorizations. They have:
• Experience with insurance guidelines of various providers, knowledge
of healthcare terminology, and medical/surgical techniques
• Good communication skills
• Good typing skills
• Excellent computer skills
• Call center/customer service experience
No matter whether you are an individual practitioner or running a faculty
practice, health insurance verification services and insurance authorization
are definitely beneficial.
MOS Outsource strategies International
8596 E. 101st Street, Suite H
Contact Details
Tulsa, OK 74133
Phone: (800) 670 2809
Article Source: http://www.americanchronicle.com/articles/view/288423
Health Insurance Verification
