Details to Check during Insurance Eligibility Verification Process

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www.ecareindia.com
Details to Check during Insurance Eligibility
Verification Process
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• The process of insurance eligibility verification
  is not as simple as cross-checking data.
• There are hundreds of insurance providers in
  United States aloneand they all update their
  plans frequently.
• Unchecked details lead to insurance claim
  denials.
• Unfortunately, many details fall into the cracks
  because hospitals, clinics, and other healthcare
  organizations often lack the manpower to focus on
  this task.

www.ecareindia.com
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• The best solution is to partner with an offshore
  medical billing company to prevent rejected
  claims.
• By partnering with an offshore medical billing
  company, your billing company or physician group
  saves time, energy, and money.
• Offshore medical billing companies in India are
  affordable, and since they are doing all of the
  medical billing, you gain more time to focus on
  your Client Service or patients based on your
  business. 

www.ecareindia.com
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• However, choosing the right business partner is
  essential in the offshore space! E-care has over
  16 years of experience.
• We offer end to end medical billing services,
  from insurance eligibility and benefit
  verification, Demo Entry, Coding, Charge Entry,
  Transmission, Payment Posting,
• Accounts Receivable and denial management,
  patient registration, indexing medical records,
  and much more.

www.ecareindia.com
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• We are ISO-certified, a member of the HBMA or the
  Healthcare Business Management Association, and
  comply with the regulations and the latest HIPAA
  rules.
• When we go through the process of insurance
  eligibility verification, we receive the
  schedules of the patients via email, fax, or EDI.
• We make sure to verify the Insurance for patients
  two days or more prior to the encounter depending
  on the requirement from our client.
• We have highly skilled and experienced team who
  is capable of maintaining the TAT and accuracy
  over 98!

www.ecareindia.com
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• Our team may also regularly check the schedule
  through the appointment and scheduling software.
• The next step is to verify the patients
  insurance coverage with the insurance company.
• This involves making calls to the insurance
  providers, speaking with the insurance
  representatives or requesting fax through IVR and
  checking information through their authorized
  insurance portals online.
• If need be, we contact the patients for more
  information. 

www.ecareindia.com
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• Post which, the team updates the billing system
  with the details of eligibility and benefits
  verified, such as the co-pay, coverage period and
  identification (member ID, group ID, etc.)
• The team also input other information such as
  deductibles and other benefits information
  including maximum limitations.
• In the event that there are issues arising from a
  patients insurance eligibility, the client is
  informed as soon as possible.
• This streamlined process will considerably reduce
  rejected and delayed claims and increase practice
  collections.
• It also shortens your revenue cycle.

www.ecareindia.com
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