AI-Driven Patient and Insurance Verification Increase cash flow. Improve your bottom line. Eliminate Demographic Errors Match patient identities in real-time at 90-95% data accuracy, far above the standard industry average of 60-70%. Determine Eligibility on Day of Service ...
Insurance eligibility verification After a patient has registered, the care provider must verify the patient’s insurance. This helps to confirm that the patient has adequate coverage for the care that they will receive. Verification helps care providers determine coverage and eligibility, and assess ...
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Insurance verification: Check coverage and eligibility Service documentation: Record medical services provided Charge entry: Convert services into billable codes (CPT, ICD-11) Claim generation: Create and submit claims to insurance companies Payment posting: Record payments received from insurers and patient...
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Not Doing Eligibility Verification Not verifying insurance coverage is the top reason for insurance claim denials. Consider a patient that visits frequently. In this case, the staff assumes that the insurance provider or coverage plan has not changed and fails to adequately check eligibility at each...
Optimize Insurance Eligibility Verification Process Here are some of the techniques that can be followed to make the insurance verification process work effortlessly: Check the patient’s insurance coverage with the payers by reaching the administrators through calls, Interactive Voice Response (IVR), and...