Eligibility & Benefits Verification – Aim Digital Solutions

Accurate Eligibility and Benefit Verification Services

Improve reimbursements. Eliminate rejections and denials.

Real-Time Eligibility and Benefit Verification

Eligibility and benefits verification services are key to ensuring accurate and timely claim processing. The absence of robust, real-time eligibility checks risks significant financial inefficiencies.

Robust Eligibility and Benefits Services

Verifying coverage on all payer types.

Resolving any missing or invalid data.

Determination of authorization requirements.

Strengthen your front-end collections.

The best time to verify patient insurance benefits is before their appointment.

Insurance Eligibility Verification Services and Prior Authorization

Set yourself up for success with automated eligibility and benefits verification services before medical service. Our experts carry out insurance verification and prior authorization checks as part of the billing process.

Coverage

Ensuring timely verification of patient coverage with all payer types, keeping patients’ accounts updated.

Benefits Options

We ensure patient information is updated, including payable benefits, deductibles and policy status.

Referral Authorizations

Identifying and documenting requirements of authorization or a referral to prevent revenue loss.

Accurate Documentation

Adequate and accurate documentation and recording of all benefits accurately to support seamless billing.

Deductibles, Co-pays, and Co-insurance

Ensuring the accurate estimate for patient deductibles amount, amount met, and co-pay or co-insurance.

Exceptional Workflow

Enhance patient outcomes and increase revenue with our optimized and efficient workflows.

How Our Services Help

Prevent Delays & Denials

Eligibility and benefits verification are critical first steps before submitting a claim to an insurance plan payer. Incorrect insurance eligibility verification remains one of the top reasons for claims being rejected, delayed, or denied. All these eligibility issues cause payment delays that directly impact the physician’s office cash flow. Maintaining a solid insurance verification process within the practice can reduce these types of denials and make your practice more efficient with the improved bottom line; we at BillingFreedom ensure correct benefits verification and determine the correct amounts a patient may owe. Discover how, together, we can transform your business insightfully.

Realtime & Automated Eligibility Checks

Insurance verification involves many complicated and time-consuming steps, and sometimes, verifying patients’ insurance coverage can be challenging due to complex systems and inconsistent data. The patient’s insurance coverage eligibility must be checked before the patient’s appointment to accurately report demographic information on insurance claims. BF has extensive knowledge and experience with government insurance as well as commercial insurance. We provide comprehensive and customized insurance eligibility verification services for all medical specialties and practices of all sizes. Our services included end-to-end insurance eligibility validation prior to appointments determining out-of-network, thus helping practices to prevent accounts from aging and becoming uncollectable.

Our End-to-end InsuranceEligibility Verification Process

Every successful billing depends solely on the success of insurance eligibility verification. The crucial first step in the Revenue Cycle Management process

Patient Registration

Our eligibility & insurance verification process starts before the patient appointment.

Insurance Eligibility Verification

Verify coverage of the benefits with the patients primary and secondary payers.

Prior Authorization

Where required, we initiate prior authorizations requests and obtain approval for the treatment.

Update

-We regularly update patient demographic information in practice management system.

Want To Learn More!

Get to know how Robotic Process Automation is changing the practice verticals.

What our clients say?

We switched from in-house billing to BillingFreedom year ago. The decision was difficult, but we definitely made the right choice. They cleaned up the mess caused by our previous biller. I would highly recommend BillingFreedom medical billing services. I would very much recommend BF to other OB/GYN’s.

Emberlynn James – Health Care Hospital

EHRs we work with

Medical billing company that knows the features and workaround of your EHR system. At BillingFreedom we work with your existing EHR.

Eligibility & Benefits Verification FAQ’s

What eligibility coverage information is provided?

We confirm information such as coverage, copayments, deductibles, and coinsurance with a patient’s insurance company. This may also include other insurance coverage in effect, PCP, and eligibility status.

When is eligibility verified?

We make sure provision of billing alerts prior to patient appointment (48 hours before the visit) and report demographic information accurately.

What are eligibility verification best practices?

To decrease denials, AR days, and potential delays in revenue, patient eligibility and benefits verification play the most crucial role, and verifying patient coverage prior to a visit helps with the timely collection. We verify inactive plans and flag all such accounts. Check for primary, secondary, and tertiary insurance. Check for services covered under the patient’s insurance policy and whether a referral or prior authorization is needed.

What is your eligibility verification process?

Most payers have made available interfaces to check eligibility online by verifying eligibility electronically before the scheduled patient appointment. Sometimes, it may be necessary to call the payer with questions related to prior authorization requirements or clarify some eligibility and benefits elements.

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