Verifying an individual's insurance coverage is the most crucial and initial stage in the medical billing process. According to research, the majority of claims are either denied or delayed because patients provide inaccurate or insufficient coverage information during visits, and office or hospital staff fails to update current coverage information. Reimbursements are directly impacted by this incomplete or inaccurate verification of insurance coverage.

Insurance update their health plans and make policy adjustments on a regular basis. In order to receive the most money back, the medical billing company or the provider must confirm whether the patient is covered by the new plan. Verifying insurance coverage makes it easier for the claim to be accepted on the first submission; on the other hand, failing to verify results in a number of uncomfortable situations, including higher errors, rework, and worse patient satisfaction in addition to delays and denials.

• Help in reducing our clients’ revenue cycle
• Minimize delays and denials considerably
• Improve collections by reducing write-offs

• Get patient schedules via EDI, email, or fax, or check them daily in the software used to schedule appointments.
• Call the primary and secondary payers to confirm the patients' insurance coverage, or use the approved online insurance portals to check. When necessary, we also get in touch with patients to request more details.
• Provide eligibility and verification details, such as member IDs, group IDs, coverage periods, co-pays, deductibles, and co-insurance information, along with other code-level benefit details like maximum allowable limits, to the medical billing system.
• If there are any questions about a patient's eligibility, we notify the client right once.
• RCM Billing Services dedicated insurance eligibility verification team delivers a thorough verification, thereby aiding the dramatic reduction of the clients’ accounts receivable cycle.