Eligibility And Benefits Verification

Ensure Claims Accuracy with Our
Advanced Eligibility In Medical Billing Verification Services

Ensure Claims Accuracy with Our Advanced Eligibility Verification Services

Our Goal is Clean Claim Submission

Ineffectual eligibility and benefits verification, coupled with deficient prior authorization procedures, contribute to the recurrent incidence of delayed payments and claim rejections, consequently diminishing overall collections and revenue. A significant percentage of medical claims are denied or delayed by the payers due to incorrect or inadequate coverage details, that could be properly addressed by having an efficient eligibility and benefits verification process. Beyond the financial implications, accurate insurance verification supports the referral and prior authorization processes, and helps patients understand their financial obligations.

We, at RCM Workshop, understand the importance of eligibility and benefits verification for your business and have established an efficient solution to gather correct information on a patient’s coverage, benefits, and co-payments to determine patient’s financial responsibility and submit clean claims subsequently.

Our Eligibility and Benefits Verification Process

Our billing experts identify diligently validate coverage and benefits provided by both the patient’s primary and secondary payers, thereby defining the financial accountability for the intended healthcare service. This step also involves identification of prior authorization requirements for the service.

BENEFITS

Outcomes Guaranteed

Eligibility and benefits verification is an important step to ensure clean claim submission at the first time and reduce rejections. Improved clean claim submission on time leads to faster claim adjudication at the payer’s end. Our service assists in improving efficiency in your revenue cycle and ensures correct and timely reimbursement.

less claim rejections

Submission of clean claims first time

Increased self-pay revenue

Correct determination of patient’s responsibility

Improved revenue

Increased clean claim submission

improved cash flow

Reduced denials

improved turnaround time

Promptness and efficiency of service

improved patient satisfaction

Efficient billing & payment process

WHY US?

Why partner with us

Our eligibility and benefits verification process is part of our comprehensive Revenue Cycle Management solution and ensures accuracy of patient insurance details to support a very efficient revenue cycle process. Our eligibility experts work closely with your team and proactively perform the tasks involved with an exceptional turnaround time. The entire process is expertly overseen and proactively monitored to ensure the delivery of high-quality outcomes. Seize the opportunity to enhance your revenue cycle – partner with us today for exceptional results.

Guaranteed Improvement
in Collections

Industry standard
best practices

Transparent reporting
–NO BLACK BOX

100% data security
& HIPAA compliance

On demand scale up
of operation

Significant Reduction
in Cost > 75% Savings

Simple & No
Cost transition

Flexible & Unbeatable
Pricing Plan