Eligibility Verification
Our Eligibility Verification service minimizes revenue loss for healthcare providers by streamlining billing and reimbursement. With accurate claims submission and customer-focused support, we alleviate the challenges of verifying coverage and benefits. With us, your team can focus on enhancing the customer experience instead of dealing with complex insurance systems.
Leverage our expertise in insurance eligibility verification for accurate and efficient results.
Our simplified Eligibility Verification Process Steps
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STEP 1: INITIAL VERIFICATION
We review the healthcare client’s information and demographics and check their eligibility using an various online verification systems.
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STEP 2: ADDITIONAL INSURANCE VERIFICATION
We contact the insurance company by phone if needed, to obtain necessary information or clarify any discrepancies.
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STEP 3: HEALTHCARE CUSTOMER COMMUNICATION
We share the verification results with the healthcare client and inform them about their coverage details and out-of-pocket costs.
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STEP 4: PERFORMANCE MONITORING AND REPORTING
We organize all verified information and prepare it for the billing team, ensuring accurate and compliant claims submission. Our specialized team can handle all claims administrative services regarding your business operations.
Our Scalable Outsourced Eligibility Verification Services
Ensures accurate and complete claims, reducing denials or delays in payment.
Optimizes revenue collection for healthcare providers by minimizing claim denials and ensuring accurate billing.
Offer a scalable solution for handling verification requests, adapting to changing needs.
Build your outsourced team with DME healthcare verification services and improve your business performance and customer satisfaction.
Why Choose Our Insurance Eligibility Verification Services
Cost Efficiency
Outsource your Eligibility Verification process to us for significant cost savings. We guarantee reduced overhead costs, including salaries, benefits, training expenses, and infrastructure for in-house teams.
Scalability
Our flexible outsourcing services cater to scaling operations, providing the needed flexibility during growth or changes in customer volume.
24/7 Operations
With our 24/7 operating hours, we provide the flexibility to process verifications outside of regular business hours or even across different time zones.
Expertise
With our specialization in processes like eligibility verification, we possess a deep understanding of the complexities involved. This enables us to ensure high accuracy and efficiency.
Reduced Errors
Our stringent quality control measures reduce the risk of errors, resulting in fewer claim denials and smoother revenue cycles.
Professional Development
Our agents undergo regular and updated training to stay compliant with new regulations and industry changes. This ensures consistent and up-to-date verification processes.
DME Service Solutions - The Leading Service Provider in the Healthcare Industry
+347%
Maintained support for Increase in call volume
-41%
Decrease in average days to collect documents
~15
Days average TAT for hiring
+166%
Increase CGM Orders YOY Q1-22 vs Q1-23
94%
Consistent service level results
-17%
Decrease in avg handling time