Insurance verification services are vital for a healthcare organization looking to improve its collections and minimize claim denials. It is best to avail of these services from a reliable outsourcing company that will get your job done cost-effectively.

1. Insurance Verification Services -
Minimize Delays, Improve Collections
Insurance companies continuously make
changes in their health insurance policy.
So, health insurance verification services
have become a necessity in the medical
billing process to verify whether the patient
is covered under the new plan to help
achieve maximum benefits of insurance.
Lack of proper eligibility may lead to
problems such as:
• Delayed payments
• Increased errors
• Need for rework
• Non-payment of claims
• Patient dissatisfaction
So in order to minimize delays and improve collections, many healthcare
organizations have started outsourcing their insurance eligibility
verification tasks. Insurance verification services ensure substantiation of

2. 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 and pre-authorizations, life time maximum and more.
Besides reducing delayed payments and improving collections, medical
insurance verification provides you with a wide range of benefits
including:
• Improved cash flow
• Reduced costs (30 to 40% below operational)
• Increased efficiency
• Reduced denial of claims
• Reduce lost revenue in collections
• Increased staff productivity
• Increased patient satisfaction
• Increased number of clean claims
• Improve patient care
• Reduce time spent following up on claims
• Increase office efficiency
• Reduced effort
• Speed up approval and authorization

3. • Simplified workflow
• Increased number of clean claims
• Faster billing cycles
• Improved staff productivity
• Reduce your risk factors
• Reduced rework of claims
• Maximize office efficiency and economies of scale
• Expand company focus
• Devote more time to core business objectives
• Reduce time spent following up on claims
The process of health insurance verification involves a number of
important steps:
• Receive schedules from the hospital (Via FTP, Fax or E-mail)
• Verify coverage on all primary and secondary payers
• Contact patient for additional information if required
• 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.
• Enter and update patient demographics

4. If necessary, insurance verification specialists will help in:
• Obtaining pre- authorization number
• Reminding patient of POS collection requirements
• Obtaining referral from PCP
• Informing client if there is an issue with coverage or authorization
• Medicaid enrollment
In short, insurance eligibility verification minimizes the chances of
denial of your claims by scrutinizing the eligibility and benefits of the
patient before the service is being delivered to him/her. Less number of
denials means more number of clean claims, which means improved
collections, and higher inflow of payment.
For More Information:
OutSource Strategies International
United States Main Office
8596 E. 101st Street, Suite H
Tulsa, OK 74133
Phone 800-670-2809
http://www.outsourcestrategies.com