Determine Coverage. Reduce patient and eligibility related denials. Improve cash flow.
Optional Layout
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.
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