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Eligibility Services
Trusted by 790+ Physicians
Catering to 40+ Specialties
70+ Certified Medical Billers & Coders
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Insurance Eligibility Verification Services
Verify patient insurance coverage & co-pays upfront
Patient Eligibility Verification Process
Patient Eligibility Verification With UMBS
Ensuring patient eligibility is a critical step in the medical billing process, determining the right to receive healthcare services based on enrollment in a healthcare plan. Outsource Strategies International (OSI) takes the lead as your trusted insurance verification company, streamlining the process to save you valuable time. Our patient eligibility verification services are tailored for practices of all sizes and medical specialties, serving as a vital component in securing reimbursement and preventing claim denials.
Automated eligibility verification— no more manual processes!
Our Eligibility Verification Service Covers
Coverage Transparency
We provide clear insights into patients’ coverage limits, co-pays, deductibles, and out-of-pocket expenses, both in Dallas, Texas, and all over the USA, enabling informed financial discussions.
Optimized Care Planning
By understanding patient coverage, you can tailor treatment plans to align with patients’ benefits, both in Dallas, Texas, and all over the USA, preventing surprises and ensuring compliance.
Thorough Verification
Our team, based in Dallas, Texas, meticulously verifies patients’ insurance eligibility and benefits, ensuring accurate and up-to-date coverage details all over the USA.
Real-Time Insights
Our technology-driven approach, based in Dallas, Texas, enables real-time verification, ensuring that you have the most up-to-date coverage details at your fingertips all over the USA.
Efficient Claims Processing
Accurate coverage information, both in Dallas, Texas, and all over the USA, translates into streamlined claims processing, reducing the risk of denials due to coverage discrepancies.
Preventive Measures
Early identification of coverage gaps or limitations, both in Dallas, Texas, and all over the USA, allows you to address potential issues proactively, minimizing claim denials and delays.
Minimized Billing Errors
Accurate coverage verification, both in Dallas, Texas, and all over the USA, minimizes billing errors, ensuring that claims are submitted correctly the first time.
Customized Solutions
We adapt our verification process to align with your practice’s workflows, seamlessly integrating with your existing patient management systems.
Thorough Verification
Our team, based in Dallas, Texas, meticulously verifies patients’ insurance eligibility and benefits, ensuring accurate and up-to-date coverage details all over the USA.
Real-Time Insurance Eligibility Verification
Enhance your revenue cycle management by allowing us to streamline the real-time eligibility check for patients. Timely identification of patient insurance helps prevent claim denials and ensures an error-free billing process. By verifying insurance details proactively before submitting claims, you can save time, reduce revenue losses, and avoid payment delays resulting from inaccuracies.
Benefits of Outsourcing Your RCM Billing
- Cost Efficiency: Reduce overall operating costs with the expertise of trained and certified professionals.
- Revenue Enhancement: Guarantee a substantial increase in revenue, ranging from 20% to 30%, through our proven strategies.
- Transparent Pricing: Embrace affordability with a pay-per-performance model; you only pay when we deliver results. No hidden or upfront fees to protect your hard-earned resources.
- Dedicated Support: Enjoy a personalized approach with assigned Account Managers, Billers, and support staff for each client, ensuring clear visibility, transparency, and operational efficiency.
- Comprehensive Billing: Stand out from the rest with our commitment to go beyond primary insurance submissions. WMB ensures secondary and tertiary billing, maximizing reimbursement for your outstanding services and boosting overall revenue. Check how to get COBRA coverage plan.
" USA Trusted Medical Billing Services"
How to
Manage Claims with Patient Eligibility Verification
Ensuring patient eligibility is a pivotal element of effective revenue cycle management. Proactive insurance claim management is equally crucial. Health insurance verification not only saves time but also minimizes claim rejections. Identifying the patient’s insurance status before providing services is key to reducing claim denials. Proactive eligibility verification significantly enhances overall collections and mitigates reimbursement delays. Moreover, real-time checks on patients’ insurance eligibility contribute to the optimization of the medical billing process.
Insurance eligibility and benefits can be verified by collecting patient information, contacting the insurance payer, verifying benefits, determining patient responsibility, and documenting all details. It is also beneficial to utilize electronic verification tools and stay updated on insurance payer policies.
The first step in patient eligibility verification is to collect all relevant patient information, including insurance policy details and primary care physician. This information will be used to contact the insurance payer for coverage and benefit verification.
