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Eligibility verification and Benefits

eClaim Solution > Eligibility verification and Benefits



The essential phase in medical billing and coding is insurance eligibility verification. Eligibility and insurance verification are critical to receiving accurate and timely information about insurance coverage and reimbursement. A healthcare organization may be losing money; if necessary, checks and balances are not in place.

Failure to validate eligibility and obtain prior authorization can result in delayed payments and denials, resulting in lower collections and revenues. Delaying reimbursements has a direct influence on the company’s cash flow.

Benefits of a Simplified Eligibility Verification Process

Patient insurance eligibility verification is the first and perhaps most critical step in the medical billing process. That means your service provider has to be on the ball to obtain and accurately record all eligibility information. Physicians need to verify each patient’s eligibility and benefits to ensure they will receive payment for services rendered.

The verification of patients eligibility for health insurance is essential since it affects the companies cash flow directly. Some of the advantages of outsourcing eligibility services are stated here:


Improves Cash Flow

When claims have access to up-to-date eligibility data, they have a better chance of being approved and processed fast. That helps the firm maintain a consistent cash flow by decreasing denials and write-offs and increasing patient satisfaction.

Smooth Workflow

Eligibility responses are viewed coherently, and that enhances overall process efficiency. The result will improve patient experience and fewer negatives following a consistent and streamlined approach.

Boost Self-Pay Revenue

Health service providers can receive additional funds by electronically linking self-paid consumers with managed managed Medicaid databases. That also helps locate, categorize, and file claims for unwittingly covered patients, which release self-paying patients from financial costs.

Why Outsource Insurance Eligibility Verification Services

Outsourcing eligibility services to company with an experienced team of medical billing and coding professionals who are up to date on all frequent changes in health plans and policies will prevent insurance claim delays and denials.

Why Outsource Eligibility Verification Services to Right Medical Billing

Right Medical Billing is a prominent RCM services company that has been delivering complete medical billing services including eligibility verification services to global clients for over the years. Our cost-effective services enable companies to reduce administrative expenditures and focus on other core operations and better serve their patients. Right Medical Billing has provided swift and effective eligibility verification services to clients in United States over the years.

Our Eligibility Verification Specialists Will Confirm the Following Patient Benefits
  • Workflows get via the patient scheduling system, EDI, Fax, emails, and FTP files.
  • Proper verification of primary and secondary coverage facts, such as member ID, group ID, coverage duration, co-pay, deductible, co-insurance and benefits information.
  • Efficient communication with the payer using the best available channel which includes Web portals, IVR, or live phone call.
  • Identification and resolution of missing or incorrect data as soon as possible.
  • Improve eligibility verification processes by utilizing our unique tools.
  • Confirming treatment authorization from relevant sources.
Things Which Make Our Eligibility Verification Services Unique
  • Full compliance
  • Cost-effective rates
  • Assured data security
  • High accuracy
  • High-speed technology
  • Latest billing software
  • Error-free verification services
  • Minimum denial and delays
  • Rapid turnaround time
Service Type
Eligibility verification and Benefits
United State Of America
eClaim Solution offers best Medical Billing Credentialing & Re-Credentialing Services. We provide cost-effective & timely medical billing RCM
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