Insurance Eligibility Verification
and Pre-Authorization Services
Optimize Your Revenue Cycle
by Utilizing Real-Time Eligibility Verification
Healthcare providers are experiencing growing difficulties in overseeing their revenue cycle. Verifying insurance eligibility and obtaining prior authorization are essential initial steps to address these challenges. Providers can improve revenue, reduce denials, and boost efficiency by optimizing this process.
Verifying a patient’s insurance eligibility is time-consuming. Providers typically set aside 30% of their annual income specifically for this process. The complexity of insurance networks and the frequent switching of patients exacerbate the issue further.
Our in-depth understanding of insurance networks enables us to offer a cost-effective and comprehensive solution.
Thoroughly checking patient insurance before treatment can prevent claim denials due to billing errors or eligibility problems. Our robust eligibility verification service ensures the protection of your income and ensures a smoother claims process.
Our Charge Survey Plan
- Immediate verification of suitability
- Increased levels of effectiveness and productivity.
- Reduced refusal rates and outstanding bills
- Improved handling of financial cycles.
- Economical choice
Our Systematic Procedure for Verifying Qualification
Our extensive eligibility verification and pre-authorization services are designed to optimize your revenue cycle. By effectively overseeing this crucial procedure, we aim to realize a 100% approval rate for claims.
The sequence of actions in our process is as follows:
- Patient information is gathered by receiving required details through email, FTP, or fax during appointment scheduling.
- Affirmation of individuals' qualification for essential and auxiliary protections through confirmation.
- Improving information accuracy by overhauling persistent socioeconomics and germane data.
- Repayment Examination: We confirm that all reimbursements adjust with contracted rates and payer expense plans.
- Enter adjust data on qualification, counting dates of scope, gather and part IDs, and co-payment points of interest, into your charging framework while joining the stages.
This systematic handle ensures that all claims are exhaustive and correct, diminishing the probability of dismissal and speeding up repayment forms.
What are the Reasons for Working Together with us?
Our comprehensive confirmation of eligibility and pre-approval services offer tangible benefits:
- Boost revenue by reducing claim denials and expediting reimbursements, leading to enhanced profitability.
- Boost effectiveness in your operations, streamline procedures, improve staff efficiency, and prioritize patient care.
- Ensure precise patient data and insurance details to facilitate smooth claim processing.
- Get help from our certified professionals and dedicated staff to effectively meet your needs.
- Adhere to industry regulations and make the most of patient benefits to stay in compliance.
We provide:
- Verification of eligibility in real-time with the ability to upload batches of information.
- Thorough verification of insurance information, including co-payments, deductibles, and coverage specifics.
- Updated information on changes to plans, pre-authorizations, and referrals will be provided promptly.
- Personalized support provided through dedicated account management.
- Partnering with BHS gives you a strategic edge in navigating the intricate healthcare environment.
Our Exposure to EHR's
Discover the benefits and challenges of EHR adoption and learn best practices to optimize your use of this transformative technology.
