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
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™
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
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.