Automate more efficient processes resulting in lowered costs, more time for patient care and improved patient satisfaction scores.

Insurance verification and eligibility check is the first step and the most important one in the medical billing process.

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It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’

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:

  • Patient’s demographic details including name, gender, address, phone numbers, and social security information
  • Medicaid or Medicare cards for patients receiving federal or state assistance
  • Information about the Payers
  • Insurance information (Name of the insurance company, group and policy number, name of the insured person and his/her contact information, and mailing address for claims)
  • Self-Pay/Patient Responsibility (Name, address, and telephone number for the person who will be responsible for payments)
  • Special requirements (interpreter, stretcher access, etc.).

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.