Health Insurance Eligibility Verification – pVerify

Tips to Improve Insurance verification in Your Medical Practice!

Maintain Batch Eligibility Reports • Organizing the details of eligibility verification in an easy and coherent manner is of utmost importance. • Strategize the process where you can deal with the eligibility checks for a certain batch of patients, all at once. • This can be achieved through maintaining batch eligibility reports before scheduling a visit for the patient.

Know Copay and Deductible Info While you verify insurance coverage to make sure whether patient has active insurance or inactive insurance, it is also vital that you notice copay and deductible information to facilitate estimation of patient obligation.

Look at the patient’s total benefit coverage In order to take a corrective decision after verifying the insurance eligibility, check patient’s total benefit coverage.

Health Benefit Plan Coverage info includes In Plan Network Status and Out of Plan Network status. Look at this information carefully.

Check ‘Benefit Information’ Customized to Your Practice and Procedures •Analyze info that is specific to your medical practice and procedures such as certain specific services covered by the payer.

•Dive into the service codes that are right for your practice. For example if you are a Chiropractic practice, check if the plan covers Chiropractic services.

Stop using payer sites and verification hotlines to check eligibility • The next step is to understand that free is actually expensive.

• Spending hours of time on payers’ sites and IVR calls is rather costly for you as it reduces your hospital’s productivity

• Through accurate Insurance verification, revenue cycle management can be improved by reducing the number of rejected medical claims and improving the cash flow to the Facility or Providers.

Steps to mitigate the billing complaint • To enhance hospital’s registration processes to reduce errors. • To help patient to understand their insurance benefits, medical cost prior to scheduling any treatment.

Automate Insurance Verification Process • Other important step is to automate your verification process. Online eligibility verification tool offers features such as integration with your practice management system, access to online portal, rapid access to excel spreadsheets.

Thank you For more information about insurance Click on https://www.pverify.com/