Amersons Healthcare Solutions

Accelerate Revenue with Patient Eligibility Verification

At Amersons Healthcare Solutions, our experts perform medical verification of benefits beforehand to save precious time and money for medical practices. So, choose our patient eligibility verification to get payments on time and maximize practice productivity.

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Simplified Real-Time Insurance Eligibility Verification and Claims Management

Patient eligibility verification is one of the crucial parts of revenue cycle management. Additionally, it is important to proactively manage insurance claims. Health insurance verification helps practices save time and reduce claim rejections. Also, identifying the insurance status of the patient before rendering services helps providers reduce claim denials. Proactive eligibility verification helps practices improve overall collections and prevent reimbursement delays. Further, checking the real time eligibility of patients’ insurance enhances the medical billing process.

Improve the revenue cycle management by letting us simplify the process of checking patient real time eligibility. Additionally, identifying the patient’s insurance on time helps you avoid claim denials and achieve an error-free billing process. As a result, you can prevent payment delays caused by submitting inaccurate claims. Verifying the details of a patient’s insurance proactively before claim submission can save time and reduce revenue losses. So, providers can focus on patient care and let Transcure provide insurance eligibility verification services to achieve an efficient revenue cycle.

Our Approach to Eligibility Verification

Patient Schedule Integration

Directly receiving patient schedules from the healthcare provider’s office, be it a hospital or a clinic, helps in planning and organizing the verification process efficiently.

Accurate Demographic Information Entry

Our team ensures precise entry of patient demographic details, which is fundamental in verifying eligibility and benefits correctly.

Navigating Insurance Complexities

We handle various complexities like dual eligibility, third-party eligibility, and out-of-state verifications.

In-Network and Out-of-Network Benefits

Determining whether the services are covered under in-network or out-of-network benefits, providing clarity on patient liability.

Updating Revenue Cycle Systems with Payer Details

After verifying eligibility, we update the hospital’s or practice’s revenue cycle system with all relevant payer information. This ensures the data is both current and accurate.

Expertise and Support You Can Trust

At Amersons, we take pride in providing our clients with the highest level of expertise and support. Our team of billing experts has years of experience in the healthcare industry, and we are committed to staying up-to-date with the latest billing codes and regulations. When you partner with us for your medical billing needs, you can trust that you will receive reliable and professional support every step of the way.

At Amersons, we are committed to providing the highest level of service to our clients. Contact us today to learn more about our medical billing services and how we can help your healthcare practice thrive.

Neglecting to verify eligibility and secure prior authorization can lead to delayed payments and claim denials, ultimately impacting revenue and collections. Timely reimbursements directly influence the cash flow of your practice, making insurance verification a vital step in ensuring financial stability.

To maximize claim acceptance and decrease denials and write-offs, we use a faster insurance verification procedure. Outsourcing insurance eligibility verification services to us will help you get your medical claims cleared faster, which will improve your cash flow.

Frequently Asked Questions

Answers to the most frequently asked questions.

Why is eligibility verification important for healthcare practices?

Eligibility verification prevents claim rejections and denials by ensuring that a patient's insurance coverage is active and applicable for the services rendered. This improves cash flow, reduces administrative burdens, and enhances the overall efficiency of the revenue cycle.
How does real-time eligibility verification work?

Real-time eligibility verification involves checking the patient’s insurance coverage instantly through electronic data interchange (EDI) systems or payer portals. This helps confirm their insurance status and benefits in real-time, streamlining the billing process.
How does verifying eligibility benefit patients?

Patients benefit from a smoother billing experience, with fewer unexpected charges or denied claims. Knowing their financial responsibility upfront fosters transparency and better patient-provider relationships.
Can eligibility verification reduce claim denials?

Yes, verifying patient eligibility and benefits before submitting claims significantly reduces the risk of claim denials. This process ensures accurate and compliant billing.
How can outsourcing eligibility verification help my practice?

Outsourcing eligibility verification to professionals saves time, reduces errors, and ensures prompt claim submissions. This allows healthcare providers to focus on patient care while ensuring steady cash flow and financial stability.