Outsource strategies International                                     Call: (800) 670 2809        The Importance of Healt...
Outsource strategies International                                   Call: (800) 670 2809    •    Ensuring benefits for al...
Outsource strategies International                                        Call: (800) 670 2809Professional Medical Billing...
Upcoming SlideShare
Loading in …5
×

The importance of health insurance verification and authorization services

5,324 views

Published on

Insurance verification services are helpful in hastening the medical billing process. Healthcare entities get to enjoy improved practice performance and productivity with these services.

Published in: Business
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
5,324
On SlideShare
0
From Embeds
0
Number of Embeds
5
Actions
Shares
0
Downloads
0
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

The importance of health insurance verification and authorization services

  1. 1. Outsource strategies International Call: (800) 670 2809 The Importance of Health Insurance Verification and Authorization ServicesMost of the medical professionals may not have enough time to supervisethe medical insurance verification process and their staff may not be skilledenough to carry out the eligibility verification process efficiently. This oftenleads to a situation where you dont receive due payment for servicesprovided. So, it is very crucial that healthcare providers understand theimportance of insurance verification and authorization services in thehealthcare industry.Insurance verification services and insurance authorization plays a vitalrole in accelerating the medical billing process. It involves validating thepatients insurance details and obtaining assurance by calling the insurance payer or through online verification. The process ensures verification of: payable benefits, patient details, pre-authorization number, co-pays, co-insurance details, deductibles, patient policy status, effective date, type of plan and coverage details, plan exclusions, claims mailing address, referrals & pre-authorizations, life time maximum and more.Comprehensive Health Insurance Verification and AuthorizationThe insurance verification and authorization process includes: Health Insurance Verification
  2. 2. Outsource strategies International Call: (800) 670 2809 • Ensuring benefits for all patients prior to submitting to the insurance company for approval • Getting patient schedules from the hospital or clinic via FTP, fax or e- mail • Verifying patient information with the insurance carrier (verification of payable benefits, co-pays, co-insurances, deductibles, patient policy status, effective date, type of plan and coverage details, plan exclusions, claims mailing address, referrals and pre-authorizations, life time maximum and more) • Verifying patients’ insurance coverage on all primary and secondary payers • Updating patient accounts • Communicating with patients and completing paperwork • Updating insurance system with new and updated benefits • Obtaining pre-certification number from physician’s office if necessary • Completing appropriate criteria sheets and authorization forms • Contacting the insurance agencies via telephone call, facsimile or online program to obtain approval for your authorization request • Contacting insurance agencies for appeals, missing information and more to ensure accurate billingIt is advisable to avail of insurance verification services to enjoy maximumbenefits. Outsourcing of health insurance verification and insuranceauthorization allows healthcare professionals to focus on their core businessactivities and provide quality healthcare. Health Insurance Verification
  3. 3. Outsource strategies International Call: (800) 670 2809Professional Medical Billing Company for Maximum EfficiencyTry to partner with a professional medical billing company that can work asan extension of your office. Normally, medical billing firms have a team ofprofessionals who work with patients as well as providers to verify medicalinsurance coverage and generate claims for services rendered. They will alsoprovide complete support to obtain pre-certification and or priorauthorizations. They have: • Experience with insurance guidelines of various providers, knowledge of healthcare terminology, and medical/surgical techniques • Good communication skills • Good typing skills • Excellent computer skills • Call center/customer service experienceNo matter whether you are an individual practitioner or running a facultypractice, health insurance verification services and insurance authorizationare definitely beneficial. MOS Outsource strategies International 8596 E. 101st Street, Suite H Contact Details Tulsa, OK 74133 Phone: (800) 670 2809Article Source: http://www.americanchronicle.com/articles/view/288423 Health Insurance Verification

×