Insurance Eligibility Verification – pVerify

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• Tips to Improve Insurance verification in Your
  Medical Practice!

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Maintain Batch Eligibility Reports

• Organizing the details of eligibility
  verification in an easy and coherent manner is of
  utmost importance.
• Strategize the process where you can deal with
  the eligibility checks for a certain batch of
  patients, all at once.
• This can be achieved through maintaining batch
  eligibility reports before scheduling a visit for
  the patient.

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Know Copay and Deductible Info

• While you verify insurance coverage to make sure
  whether patient has active insurance or inactive
  insurance, it is also vital that you notice copay
  and deductible information to facilitate
  estimation of patient obligation.

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Look at the patients total benefit coverage

• In order to take a corrective decision after
  verifying the insurance eligibility, check
  patients total benefit coverage. Health Benefit
  Plan Coverage info includes In Plan Network
  Status and Out of Plan Network status. Look at
  this information carefully.

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Check Benefit Information Customized to Your
Practice and Procedures

• Analyze info that is specific to your medical
  practice and procedures such as certain specific
  services covered by the payer.
• Dive into the service codes that are right for
  your practice.  For example if you are a
  Chiropractic practice, check if the plan covers
  Chiropractic services.

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Stop using payer sites and verification hotlines
to check eligibility

• The next step is to understand that free is
  actually expensive.
• Spending hours of time on payers sites and IVR
  calls is rather costly for you as it reduces your
  hospitals productivity

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• Through accurate Insurance verification, revenue
  cycle management can be improved by reducing the
  number of rejected medical claims and improving
  the cash flow to the Facility or Providers.

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Steps to mitigate the billing complaint

• To enhance hospitals registration processes to
  reduce errors.
• To help patient to understand their insurance
  benefits, medical cost prior to scheduling any
  treatment.

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Automate Insurance Verification Process

• Other important step is to automate your
  verification process. Online eligibility
  verification tool offers features such as
  integration with your practice management system,
  access to online portal, rapid access to excel
  spreadsheets.

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• Thank you
• For more information about insurance
• Click on
• https//www.pverify.com/