Insurance Eligibility and Verification
Accurate and up-to-date insurance eligibility and verification is essential to keeping your business running smoothly. Our highly trained staff will work with you to verify your patients’ insurance coverage and ensure that all the required information is accurate and up to date.
What We Offer
The members of our team will perform the following as elements of the verification process:
- Find the patient’s schedule through the office of your healthcare provider or clinic
- Perform the entry of demographic data
- Verify the coverage of benefits with the patient’s primary as well as secondary payers:
- coverage determines if the individual is covered by valid coverage at the time of service
- Benefit choices Patient responsibility in co-pays, coinsurance, and the deductible
- If necessary the team will submit prior authorization requests and seek approval for the procedure.
- The hospital’s revenue cycle management system or your patient’s management system using the information gathered from payers
Why choose Axiologic Insurance Eligibility and Verification Services ?
- More than 40% off your operational costs
- In-house verification is often expensive. Our Indian team members pick up work queues and handle each
- Speed up care delivery: With efficient prior authorization processing, patients can be scheduled with their physicians for timely care reviews. This improves patient satisfaction and physician utilization.
- Reduce Claim Denials. Reduced claim denials due to eligibility verification or prior authorization-related denials means that cash flow is more rapid and there are fewer denials.
- Reducing bad debt and increasing cash collection. A clear and upfront determination of patient responsibility for payment reduces patient debts, improves POS collection, and improves Patient Satisfaction
- Expertise. Our team works with all major healthcare payers, including Blue Cross Blue Shield (BCBS), Aetna and Humana, United Healthcare, as well as other commercial and government ones. Our team has experience working with multiple medical specialties in different states and sizes.
- You should be focusing on your business’ growth. You can now focus your employees on growing your company because we will take over the entire process for less than a third the cost.