Eligibility verification is a crucial step in the healthcare revenue cycle. At Med Globe Healthcare Solutions, we provide comprehensive eligibility verification services to ensure that patient insurance information is accurate and up-to-date. This reduces claim denials and delays, enabling your practice to maintain a smooth billing process and improve cash flow.

Our Eligibility Verification Services Include:

  1. Pre-Appointment Verification

We verify patient insurance details before their appointments to prevent billing issues and ensure coverage.

  • Insurance Coverage Confirmation: Checking patient insurance coverage, including copayments, deductibles, and coinsurance.
  • Benefit Verification: Verifying specific benefits related to the patient’s scheduled services or treatments.

 

  1. Real-Time Eligibility Checks

Our advanced technology allows for real-time eligibility checks, providing instant verification of patient insurance information.

  • Automated Verification: Utilizing electronic data interchange (EDI) to quickly verify insurance details.
  • Instant Updates: Immediate updates on any changes in patient insurance status or coverage.

 

  1. Detailed Verification Reports

We provide detailed reports on patient eligibility, offering a comprehensive view of insurance coverage and benefits.

  • Coverage Details: Complete breakdown of coverage limits, exclusions, and out-of-pocket costs.
  • Benefit Summaries: Summarized information on key benefits relevant to the patient’s care.

 

  1. Continuous Monitoring

Our team continuously monitors patient insurance status to identify any changes that could affect coverage.

  • Ongoing Verification: Regular re-verification of long-term patients to ensure continued coverage.
  • Alert System: Notifications of any changes in patient insurance status, allowing for proactive management.

 

  1. Patient Communication

We assist in communicating insurance information to patients, ensuring they understand their coverage and financial responsibilities.

  • Pre-Visit Notifications: Informing patients of their coverage details and expected out-of-pocket costs before their visit.
  • Clarification of Benefits: Explaining benefits and coverage details to patients to avoid confusion and billing disputes.

 

  1. Customized Solutions

We tailor our eligibility verification services to meet the unique needs of your practice, ensuring maximum efficiency and accuracy.

  • Personalized Verification Plans: Developing customized plans based on your practice’s specific requirements and patient demographics.
  • Flexible Integration: Seamless integration with your existing practice management systems and workflows