describing the process of instant insurance verification

Instant Insurance Verification of Benefits, What You Don’t Know?

Instant insurance verification of benefits is not a guarantee of payment. Sometimes I wonder. This raises a couple of questions like, “Why do insurance companies not pay a claim?” Furthermore, why would the insurance company be so focused on this statement even after you verify the benefits of a particular policy that they would still include this disclaimer? It feels like they are already looking for an out and you haven’t even admitted the patient. Isn’t the purpose of calling to verify the benefits to know what they will pay?

Instant Insurance Verification of Benefits Getting Lost in the Portal

Instant verification of Benefits with each insurance company is its’ own journey. There are many different insurance companies. They all have their own portals like Blue Cross Blue Shield insurance verification of benefits. Here are some others.

  • United healthcare
  • Cigna
  • Ambetter
  • Aetna

They all have their own portals to log in to. Doesn’t the word verify even make you assume that the benefits are available to that particular patient? Well, it’s not that simple and there is a bunch of information that not only goes into the instant verification of benefits but the billing and collections as well.

It’s all too familiar to revenue cycle managers when they see this complicated process. How can they differentiate what the benefits actually are? They also need to know, how to bill the claim for the correct bill code? There are many factors that go into substance abuse building for a medical healthcare claim. Everything from doctors’ notes to build codes to even special regulations for specific insurance policies. These all come into consideration when evaluating a medical claim on insurance benefits.

Obviously, the keyword is guaranteed. Even though you verify benefits you could still mess up in any of these ways and more and not be paid. Instant verification of benefits is only the beginning step in submitting a claim to your insurance provider.

Why Instant Verification of Benefits is Complicated?

There is a lot that goes into the instant verification of benefits process. It really is a complicated animal. Here are some of things that must be considered.

  • What are the deductibles?
  • Are there out of pockets, co-pays?
  • What number do I call if you need the information fast?
  • Where do I go to find the information online?
  • What if it’s after hours?

I have been on the phone with an insurance company and the phone automatically disconnects right at 5 o’clock. Now mind you, I’ve been waiting on hold for two hours. I never got to hear that wonderful phrase “Verification of Benefits is not a guarantee of payment”.

What about finding out that information in an accurate way on nights and weekends in just one simple online portal- is that even available? What if a patient wanted to admit to your healthcare facility that was open on Saturdays? They show up with their particular insurance policy and you have no way of verifying that policy over the phone? That’s where an online portal would be the next choice to see and verify that particular insurance benefit. As I have said before, each insurance like Blue Cross Blue Shield, Aetna, and United healthcare, all have different portals for Benefits Verification. You have to login to verify those benefits. And there is no guarantee that those portals will even be up and running.

instantVOB™ Program Beats the Rest

Our instant insurance verification of benefits patented program does much more that the competition. In fact, our compilations of all the insurance companies are more accurate. This is where instantVOB™ shines with all insurance policies in one location. No more having to log in to multiple Insurance portals on nights and weekends to verify insurance policy benefits.  No more verification of benefits forms or letters. Not only that, but it gives you a “my VOB” selection that allows you to look at previous patients’ verifications if necessary. This is convenient if a patient calls you on the phone and wants to set up a future appointment, or for your substance abuse billing department to go back and look at the verification.

Why Drug Rehabs Need instantVOB™  

Form for insurance verification of benefits

Instant insurance verification of benefits has never been easier with instantVOB™. It was built mobile-first. This online portal can verify hundreds of insurance policies instantly in the palm of your hand. The verification of benefits form displayed shows you everything from deductibles out-of-pocket both individual and family. It also contains many different healthcare-related specialties and prescription drug benefits. This tool has revolutionized the way healthcare centers have verified benefits and increased revenue across the board to its customers. Most centers see a dramatic influx of patients due to the availability of providing accurate information to their patients in a timely manner utilizing instantvob™. No one likes to hear that when they’re trying to get clinical services.

“I’ll call you back in an hour two”- if you’ve ever worked as a front office manager of any healthcare facility you know how much this frustrates the patient. Knowing that 90% of Americans are insurance dependent, whether be from private insurance, Medicare, or Medicaid this information is paramount when verifying benefits.

Not only does instantvob™ provide instant insurance verification of benefits on nights and weekends, but also offers a daily reimbursement estimator that’s specific to the substance abuse and mental health treatment industries. Instant VOB offers this estimate for all levels of care including the following.

  • Inpatient drug detox centers
  • Outpatient drug and alcohol detox centers
  • Residential drug rehabs
  • PHP drug rehabs
  • Intensive outpatient programs or IOP drug rehabs

Get the Most Up To Date Rates the Insurance Companies Will Pay

This truly is instant insurance verification of benefits. Our sophisticated program uses daily reimbursement rates from tens of thousands of claims based on billed state, insurance type, plan type, group number and prefix. There is a proprietary algorithm that calculates this particular estimate and releases it in a very digestible format. The daily reimbursement estimator helps drug rehab admissions teams and revenue cycle managers with their admissions decisions in real-time.

The data for that calculation is accumulated daily and the algorithm continuously looks for changes and trends and insurance reimbursements. This way your facility can always have accurate instant insurance verification of benefits and revenue cycle management software in the palm of their hands. Now obviously this does not replace verbal verification, which is still highly recommended. However, Instant VOB’s accuracy is paramount. It is what you call a clearinghouse. This communicates directly with the insurance carrier servers so that you can get accurate information on the patient’s benefits.

Instant Insurance Verification of Benefits is Admissions Simplified

button for instantly verifying insuranve benefits

Our instant insurance verification of benefits is for substance abuse and mental health. We are helping drug rehab CEO’s get more admissions with our program. Everyone at instantvob™ has worked tirelessly to put together the most complex and current data-driven proprietary algorithm. This is because they want the drug rehabs to have access to the most accurate data. However, this doesn’t mean that it is limited to the substance abuse and mental health market. Anyone from most healthcare specialties, medical billing and pharmacies can utilize this information to make informed decisions for the patients care and even more importantly no surprises for the patient.

This leads me back to this point: Insurance verifications are not a guarantee of payment. However, when you have the information in your hand of over 300 million other reimbursements, you can use the past to predict the future. Being you still are taking all the other steps to ensure your patient not only gets the clinical care needed but also bills correctly for the financial care they deserve. Give us a call 561-530-5755, we will help you get more admits.

Verification of benefits helping drug rehab owners

Drug Rehab CEO’s Stop Guessing

Owning and operating a drug rehab is a difficult task. There are many aspects and moving parts to a drug and alcohol addiction treatment center. Some of these critical areas include the business, clinical and marketing areas. Sometimes they need comprehensive and completely accurate information within seconds to help save lives. Although many own and operate a rehab to truly help, they need operating cash to keep their doors open.

They do this by obtaining new clients which is a difficult task. In that process their admissions and marketing teams need critical answers quickly to make decisions on how to help an individual on the phone. Unfortunately, health insurance plays a big role in this process. The drug and alcohol addiction treatment centers need to verify insurance information in real time. In fact, they need these critical answers in seconds and need to get back to the individual seeking help on the phone. This can be done while on hold with instantVOB™ services.

Seeking Addiction Treatment Help is a Critical Time

In the US 20 million people every year go without help for drug and alcohol addiction. There are many reasons for this, however it is critical when someone is reaching out that there are no obstacles for them to get the help they desperately need. In addition, we are now trying to deal with a record number of opiate overdose deaths in 2021. In fact, The Center for Disease Control and Prevention released record opiate overdose numbers for 2021 that recorded over 200 lives per day. This is a huge increase of 150 before the Covid-19 pandemic. Many drug rehabs are turning to instantVOB™ to help them approve and or get individuals reaching out for help the individualized help they need.

When substance abuse rehabilitation centers get calls, they need the most up to date information possible to make a good decision on how to help this individual. If they do not accept, they health insurance they will be able to direct them to a center that can. This is critical. Leaving someone reaching out for help with no solutions could be life-threatening.

A good treatment center will hand deliver someone to another center when they cannot help. While this is not always possible there are other ways to make sure they get in contact with the best solution. They can add a three way to the call to the correct center that accepts that insurance.

Drug Rehab Owners Taking the Guessing Out of Admissions with Verification of Benefits

There are high costs associated with operating a drug rehab. The list is endless with many high price ticket items that must be done. Some of these may include the following items.

  • Mortgage, rent or lease
  • Joint Commission Accreditation
  • Monthly marketing and advertising
  • Monthly taxes, insurances, and licenses
  • Monthly payroll
  • Monthly attorney’s fees
  • Monthly utilities
  • Food

The list goes on and on. Operating cash is critical for addiction treatment center owners. Without operating cash, they would have to close their doors. They would be unable to provide much needed scholarships to help the many without resources to get help.

The substance abuse rehabilitation centers spend a lot of money in obtaining clients. In fact, it is estimated that it costs between $5,000 and $8,000 to obtain a new client. Combine that will all the other expenses and you can clearly see they need help.

InstantVOB™ Saving Addiction Treatment Center CEO’s Time and Money by Verifying Treatment

Addiction Treatment CEOs saving time and money with instant verification of benefits

Verifying treatment prior to admission ensures payment. Instant verification of benefits is a critical tool for drug rehabs. When marketing or admissions get a potential client on the phone, they must provide immediate answers. They need to know what the insurance companies are paying for particular services in particular areas.

Our comprehensive and innovative mobile program assists many different departments of drug and alcohol addiction treatment centers. Some of the areas that will benefit include the following.

  • marketing
  • admissions
  • revenue cycle management
  • substance abuse billing

Our app is the most comprehensive and up to date in the industry. We used our in-depth knowledge of substance abuse billing and revenue cycle management from our mother company Integrity Billing. We provide your teams with the fastest response with the most accurate information on the market today. This allows your teams to make the best educated decisions on admissions.

Not All Instant VOB Programs Are Available on Nights and Weekends

Nights and weekends play a critical role on obtaining clients for drug rehabs. Instant verification of benefits answers critical questions for drug rehab CEO’s. However, they are all not made the same. As an addiction treatment center owner, you need to have hard and fast answers when finding out about potential clients insurance policies. Many times, centers have an outdated instant VOB program, or the numbers given are simply not correct. Some of the critical areas where time and information play a role include the following.

  • Correct information allows centers to correctly forecast the reimbursements for detox, inpatient, and intensive outpatient programs
  • Our instant VOB provides the most comprehensive and up to date information within 8 seconds!
  • Health insurance information without errors. This also allows drug rehabs to update insurance prior to admissions
  • 34/7, 7 days per week
  • Clear, concise reimbursement information on our 3-page summary
  • All your insurance verifications are securely stored in our portal and can be referenced anytime

Our Daily Reimbursement Calculator Using $6.000.000.000 in Reimbursements

Help drug rehab marketing and admissions teams by getting a free instant verification of benefits demo today

The instant verification of benefits daily reimbursement calculator provides the most up to date information for the largest data base. It is here you get the most comprehensive and unparalleled revenue data from across the United States. We have compiled the most in-depth algorithm that that takes all guessing out for your admissions and marketing teams.

We know substance abuse billing and revenue cycle management in the mental health industries. We have used the revenue cycle management education and experience to provide the best instant VOB program on the market. Combine that will our extremely competitive pricing and this is a no brainer for drug rehab CEO’s.

The program is as easy as 1, 2, 3! Your marketing or admissions teams only need to answer 5 questions. Then withing seconds you get the most comprehensive and up to date reimbursement rates. This is all available 24/7, 7 days a week. Give instantVOB™ a call now at 561-530-5755 or schedule a FREE instant VOB demo by clicking here. It’s time to take out the guessing of your reimbursement rates. We can get you up and running in a day.

 

 

Program for instant verification of benefits increasing admission rates for treatment centers

What does Verification of Benefits Mean To Patients?

Verification of benefits is one of the most crucial aspects of revenue cycle management. Its importance is undeniable when you consider the perspective of providing a luxury service to your patients. Moreover, you are removing a huge barrier between them and their crucial medical treatment. Since medical institutions want to provide the best service possible to their patients, they must include Verification of Benefits. However, it’s impossible to include VOB if you don’t know what it is. Therefore, we’ll explain what is VOB and its main benefits in this blog post. Keep reading to learn more.  

What Is Verification of Benefits? 

Why is it important to verify addiction treatment insurance coverage online

Verification of benefit (VOB) is a part of the healthcare billing service. It means your medical institution will get compensation from the insurance provider if the care is given to the patient. This step is crucial because if you start treating patients with VOB, you don’t know whether the patient’s medical insurance covers the services you provide. As a result, your revenue cycle is damaged, and you lose money instead of making it.  

There’s a list of documents that follow VOB, ensuring whether you’re in-network or out-network with the patient’s medical plan. Here are all the documents you need to conduct VOB.  

  • Patient’s date of birth 
  • Patient’s first name  
  • Patient’s last name  
  • A front and back copy of the patient’s insurance ID  

When you have this information, it’s best to save it on your electronic health records (EHR) for future reference. Next, you should call the number on the back of the insurance card to verify the benefits information. This ensures the insurance company won’t deny your claims. Most medical institutions record this conversation as proof. Moreover, it would be best to inquire about the expiration date of insurance for safety measures.  

How Does VOB Apply To The Patient 

Providing medical services on insurance is a risk for medical institutes. Some patients walk in with expired insurance, or their plan doesn’t cover the treatment they request. VOB has a significant impact on both the patient and the medical institution. Here is how it applies to the patient.  

One thing to note about VOB is that the patient’s responsibilities change depending on the services provided by the medical institution. For instance, some insurance companies cover routine visits while others don’t. In that case, you can’t simply fetch data from your computer and request the insurance company for payment at month-end. Instead, you’ll need to feed this information into the system to keep a reminder. Otherwise, you’ll often make this mistake and damage your billing cycle.  

Payment Terms Between Insurance Provider and Patient 

Verification of benefits applies to the patient’s financials and affects the revenue cycle of a medical institution. Inquiring benefit details from the insurance provider is one thing. However, verifying how much the patient will pay and how much is covered is also important.  

We have over 600 million dollars in historical data we can reference to estimate daily addiction treatments reimbursement rates.

This information will help you manage your books. The amount the patient must cover is provided immediately after discharge. The insurance company covers the rest of the payment, which takes weeks to months. Therefore, knowing how much you should charge the patient allows you to keep cash in your business and keep things running smoothly.  

What Health Insurance Plans Are Covered 

Sometimes, health insurance companies might not cover certain medical plans. In this situation, it’s important to find out what care you can provide to the patient. You can get this information by calling the insurance agency and clearly stating the services you will provide. For instance, if you provide mental health services, it’s important to mention that to the insurance agency representative. Afterward, you’ll receive a confirmation of the services that are covered.  

In some cases, patients try to avail their medical insurance at IV bars. While insurance providers cover medical IVs, skin booster IVs aren’t. Therefore, stating the services you’re going to provide will help streamline things and allow you to manage your billing cycle. If this information is unclear, you’ll be shooting arrows in the dark since you don’t know how much money you’ll get from the insurance provider.  

Outsource Medical Billing To Instant Verification of Benefits 

Instant verification of benefits is a quick and easy solution for managing patient benefit verification. We provide reimbursement forecasting and data-driven metrics. Moreover, we are HIPAA compliant and secure. If you are looking for an easy solution to revenue cycle management, instant verification of benefits can help.

Advantages of instant verification of benefits include:

  • take the guesswork out of insurance payments
  • instant verification allows verification on nights and weekends
  • catch termed policies without waiting on hold with insurance payors
  • quickly get updates on insurance deductibles
  • we are the most affordable instant insurance verification solution

If you think you can benefit from instant verification of benefits do not hesitate to call us now.  Dial 561-530-5755 or visit our website for more information.  We would love to set up a no obligation free demo to talk about increasing your admission rates. 

How Substance Abuse Billing Companies Are Helping Patients Seeking Treatment and Rehab Owners Alike

Substance abuse billing companies are playing a pivotal role in the addiction treatment industry helping those seeking drug and alcohol addiction treatment. Substance abuse billing companies are also helping drug rehab owners increase revenue with specialized knowledge in the drug and alcohol addiction treatment billing industry.

Substance Abuse Billing Companies Understand How the Insurance Companies Operate

An experienced Substance Abuse Billing company is an essential weapon in your arsenal when seeking reimbursement for claims for addiction treatment services. Are you submitting claims with incorrect modifiers, incorrect CPT codes or outdated HCPCS codes? Are you being reimbursed the maximum allowable amount on every claim? These are important questions you can confidently answer “yes” to when you’re working with an experienced Substance Abuse Billing company.

The prevalence of improper billing and inconsistent collection practices are increasingly common throughout the Substance Abuse Billing industry. Too often we see lost revenue because of unwillingness to investigate denials and/or rectify improper pricing because of a third-party administrator or insurance company error. Knowing exactly who to call and how to fix these errors is the difference between and experienced and inexperienced Substance Abuse Biller.

What the guarantor can expect financially when a loved one is receiving treatment for a Substance Abuse Disorder or Mental Illness

As a guarantor responsible for the financial end of Substance Abuse or Mental Health treatment, there can sometimes be a cash bill left over after insurance pays their portion. This is commonly referred to as the “Patient Responsibility”.  The worst-case scenario would be assuming the liability for unpaid claims resulting from Substance Abuse Billing and/or Collections errors. While the practice of balance billing patients may be unlawful under the No Surprises Act in states like Texas, other states may not offer these protections to patients seeking Substance Abuse Disorder or Mental Health Treatment. As a patient, it is very important for you to know your rights when receiving treatment to avoid unnecessary financial liability.

The Application of Experienced Substance Abuse Treatment Billing and Collections

The struggle to find a Substance Abuse Disorder or Mental Health Treatment facility can be exhausting for patients and their families. Both the clinical and medical capacity of the facility to properly treat the patient’s Substance Abuse and/or Mental Health should always be the paramount concern. Unfortunately, limitations dictated by the insurance plan’s coverage can play a role in finding a Substance Abuse Disorder or Mental Health Treatment facility if private funds are unavailable for treatment.

The Verification of Benefits performed at the request a Substance Abuse Disorder or Mental Health Treatment facility is the key indicator of insurance coverage limitations as well as a patient’s financial responsibility. Typically, Insurance Companies will recommend an In-Network Provider to ease both the financial burden for the patient as well as the Insurance Company. Inexperienced Substance Abuse Billing companies can fall victim to a misquote of benefits, potentially leaving a patient with a large financial responsibility if the patient’s plan lacks proper coverage.

Finding the Right Solution for the Patient

Once a patient finds the appropriate provider or facility to render Substance Abuse Disorder or Mental Health Treatment, an Intake Assessment is performed to address the underlying reasons for coming to treatment. This information is provided to a Utilization Review team that is responsible for advocating the patient’s medical necessity for treatment to the insurance company. This process, also known as Prior Authorization, is essential for the services to be pre-approved for reimbursement by the insurance company. This process also determines the length of stay, which is also affected based on the patient’s progress in treatment. In some cases, daily assessments can even be required to authorize further coverage.

An experienced Substance Abuse Billing company thoroughly understands this process and, in most cases, develops a professional relationship with Utilization Review teams at most major Insurance Companies. Advocating for a patient’s treatment services requires a strong understanding of each insurance company’s criteria for Medical Necessity, which in some cases can be more onerous than even state regulations for Substance Abuse and/or Mental Health treatment! While the patient’s treatment plan is dictated by the attending provider at the Substance Abuse Disorder or Mental Health Treatment facility, a claim denial may arise if claims lacking Prior Authorization are denied by the insurance company. When this happens, it is essential that an experienced Substance Abuse Billing company understands the intricate process of appealing a denied claim. Understanding the appeals process can be the difference between a patient assuming financial liability for unpaid claims or being covered by their insurance carrier.