INSURANCE VERIFICAION &
ELIGIBILITY CHECK /
FINANCIAL CLEARANCE
Determine Coverage.
Reduce Patient & Eligibility Related Denials.
Improve Cash Flow
INSURANCE VERIFICAION & ELIGIBILITY CHECK / FINANCIAL CLEARANCE
Determine Coverage.
Reduce Patient & Eligibility Related Denials.
Improve Cash Flow
Insurance Verification & Eligibility Check is the first step and the most important one in medical billing process
Atom Healthcare’s patient registration services involve collecting the patient demographic information, insurance/payer information, and other details to reduce claim denials. Our team captures the following information with the highest quality and within the turnaround time:
- Get access to qualified charge entry professionals with expertise of working across different medical specialties
- Reduce costs by 30-40%
- Improve productivity, accuracy and turnaround
- Arrest revenue leakage by identifying missed revenue opportunities through our charge integrity and audit services
- File claims on time, benchmark fee schedules and understand denial trends
- Effective coordination with medical coding team to ensure accuracy
Atom Healthcare’s patient registration services involve collecting the patient demographic information, insurance/payer information, and other details to reduce claim denials. Our team captures the following information with the highest quality and within the turnaround time:
- Get access to qualified charge entry professionals with expertise of working across different medical specialties
- Reduce costs by 30-40%
- Improve productivity, accuracy and turnaround
- Arrest revenue leakage by identifying missed revenue opportunities through our charge integrity and audit services
- File claims on time, benchmark fee schedules and understand denial trends
- Effective coordination with medical coding team to ensure accuracy
The process for Insurance verification and eligibility check (financial clearance outsourcing) involves:
- We receive the work queues to be processed through the provider’s patient scheduling system, faxes, or through .csv/.txt files via FTP.
- We verify type of plan, primary and secondary coverage details, including member ID, group ID, coverage period, co-pay, claim mailing address, referrals and prior authorization, pre-existing clauses, deductible / co-insurance information, and benefit information
- We also verify if any pre-certification or authorization is required and determine the appropriate channels (calls/web) to connect with the payer to receive the information.
The process for Insurance verification and eligibility check (financial clearance outsourcing) involves:
- We receive the work queues to be processed through the provider’s patient scheduling system, faxes, or through .csv/.txt files via FTP.
- We verify type of plan, primary and secondary coverage details, including member ID, group ID, coverage period, co-pay, claim mailing address, referrals and prior authorization, pre-existing clauses, deductible / co-insurance information, and benefit information
- We also verify if any pre-certification or authorization is required and determine the appropriate channels (calls/web) to connect with the payer to receive the information.
Our Timely Performance Of Insurance Verification, Eligibility Check, Financial Clearance Information Helps In Minimizing Claim Rejections And Denials
- Improving first pass rate
- Avoiding claims re-submission
- Reducing demographic and eligibility rejections and denials
- Determining patient responsibility clearly and propose payment plans
- Increasing self-pay collections
- Improving patient satisfaction
92% of consumers want to know payment responsibility prior to a provider visit.
Our Timely Performance Of Insurance Verification, Eligibility Check, Financial Clearance Information Helps In Minimizing Claim Rejections And Denials
- Improving first pass rate
- Avoiding claims re-submission
- Reducing demographic and eligibility rejections and denials
- Determining patient responsibility clearly and propose payment plans
- Increasing self-pay collections
- Improving patient satisfaction