Patient Eligibility Verification - pVerify

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The key roles of understanding of insurance
policy for easy Patient Verification
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Understand the Health Insurance Policy

• Identify the Covered Person - Was the recipient
  of the providers services covered by the health
  insurance policy?
• Know Your Policy Details - What is your insurance
  policy and group number? Was your policy in
  effect at the time the services were provided? 

3

• Confirm That the Procedure Was Covered and
  Approved - Was the procedure directly or
  indirectly covered in the policy terms? Was prior
  authorization or a second opinion required? If
  so, did you meet the requirements?

4

• Any Co-Payments Due. What is your deductible? How
  much is your Copay? Do you have evidence of your
  payment? Policy holders often forget there is
  usually a shared payment responsibility until
  policy maximums are met.

5

• Understand the Appeal Procedure Detailed in the
  Policy. Your health insurance policy has a
  complete section describing how to question a
  denied claim, often with detailed forms, phone
  numbers, and websites.

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Thank You!For more details Check
https//www.pverify.com/