Reliable insurance authorization and verification services are available to help physicians check patients’ coverage before the office visit.

1. Boost Practice Revenue and Save
Time with Patient Insurance
Verification
Reliable insurance authorization and verification
services are available to help physicians check
patients’ coverage before the office visit.
Outsource Strategies International
8596 E. 101st Street, Suite H
Tulsa, OK 74133

2. www.outsourcestrategies.com Phone: 1-800-670-2809
There are many ways physicians’ practices can boost their revenue. One of the most
important ways is obtaining a patient eligibility verification. In fact, the success or failure of
each patient claim starts at the front desk. Checking health insurance coverage and benefits
before the point of service is a crucial step that your practice can take to avoid denials and
delayed payments. Today, highly reliable insurance verification and authorization
services are available which makes the entire process much easier for physicians.
Comprehensive Insurance Verification Services
Established outsourcing companies that provide services to verify patients’ insurance
benefits use payer websites and call insurance companies directly. The process begins with
receiving schedules from the practice and checking with the patient’s insurance carrier to
ensure that the information on the patient’s insurance card is up to date and valid for that
date of service. This service is provided at the time of patient registration and appointment
scheduling so that there is no ambiguity about coverage. Comprehensive benefits
verification will include checking the following details:
 Type of plan and coverage details
 Medicare coverage
 Payable benefits
 Co-pays
 Co-insurance
 Deductibles
 Patient policy status
 Effective date
 Plan exclusions
 Health insurance caps
 Out of network benefits
 DME reimbursement
 Claims mailing address
An insurance verification company will check procedure-specific coverage and benefits and
all out-of- pocket costs so that the patient knows what is due before they see the doctor.
This also helps patient collections and prevents them from aging and ultimately becoming
uncollectable.

3. www.outsourcestrategies.com Phone: 1-800-670-2809
Additionally, specialists need to verify if their services will need a referral or pre-
authorization. One important detail that will be checked is as to whether the patient’s
insurance plan will consider the specialist an in-network or out-of-network provider. In the
case of an in-network provider, the patient’s insurance is generally responsible for a larger
portion of the bill. On the other hand, patients will have to pay some portion of their bill at
the time of the visit if the physician is an out-of-network provider.
Outsourcing insurance eligibility verification increases collections by eliminating non-
payments from patients who have invalid or inadequate coverage.
Benefits of Partnering with an Experienced Insurance Verification Company
Physicians’ practices that opt for professional patient eligibility services gain in many ways:
 Get accurate information about patients’ coverage and changes in benefits
 Avoid billing denials due to incorrect claim submission
 Understand patient co-pays and out-of-pocket costs before the appointment, which
would help avoid costly errors
 Increase collections and save time
 Focus on patient care and reduce in-office administrative work
Having a team of experts to check each procedure and identify all out-of-pocket costs can
improve a practice’s bottom line. With rising deductibles and patients' higher out-of-pocket
costs, upfront estimates are also very useful to help patients understand their coverage.