Patient insurance eligibility verification plays a pivotal role within the realm of medical billing, as it is an essential step to ensure the seamless progression of procedures. It involves the process of confirming whether a patient possesses valid and active insurance coverage at the point when they require medical attention. Read the presentation to know more.

1. Insurance Eligibility
Verification Process
Lets the business flow

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What is Insurance Eligibility Verification Process?
Patient insurance eligibility
verification plays a pivotal role
within the realm of medical billing,
as it is an essential step to ensure
the seamless progression of
procedures. It involves the process
of confirming whether a patient
possesses valid and active insurance
coverage at the point when they
require medical attention.
Moreover, this process extends to
verifying the intricate details of -
Insurance
Policy
Treatments Are Covered By
The Policy
Limitations
Exist
Exceptions Or Prerequisites
Must Be Met

3. © 2023 AutomationEdge. All rights reserved. Value Led Hyperautomation
Steps Involve in Insurance Eligibility Verification Process
The insurance eligibility
verification process in
healthcare includes a series of
steps right from data extraction
to processing. These steps are-
Step 1
Monitor Patient Referral
Requires Eligibility
Step 2
Extract & Analyze Patient Data
Step 3
Verify Eligibility Information at
Clearing House
Step 4
Update Status and Data in to
EHR system
Steps in Insurance Eligibility Verification Process

4. © 2023 AutomationEdge. All rights reserved. Value Led Hyperautomation
Consequences of Delayed Insurance Eligibility Verification
Healthcare provider receive
high volume records that needs
to be extracted, analyzed and
verified by healthcare provider
for claims reimbursement. With
delayed insurance eligibility
healthcare provider struggle
with-
Delayed
Reimbursements
Claims
Denials
Operational
Inefficiencies

5. © 2023 AutomationEdge. All rights reserved. Value Led Hyperautomation
How can AutomationEdge Simplify
Insurance Eligbility Verification Process?
Insurance eligibility verification
is a multi-step process that
requires multiple logins to
disparate systems of record to
verify information given by a
single patient.
AutomationEdge’s RPA solution
comes with intelligent
document processing and an
AI-enabled bot solution to
automate the insurance
eligibility verification process.
AutomationEdge RPA bot can-
Read patient insurance
information like Member
ID and DOB using OCR
from Scanned card
Check insurance
eligibility on insurance
portal
Update the information
in EHR systems and share
the status
Insurance Eligbility Verification Process With AutomationEdge

6. © 2023 AutomationEdge. All rights reserved. Value Led Hyperautomation
Value Led Hyperautomation
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