Instant insurance verification of benefits is not a guarantee of payment. This phrase raises questions such as, “Why do insurance companies not pay a claim?” 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 a reason to avoid paying a claim, and you haven’t even admitted the patient. Isn’t the purpose of calling to verify the benefits to determine if the patient’s policy covers a particular level of care or ancillary service?
Instant Insurance Verification of Benefits Getting Lost in the Portal
Instant verification of Benefits with the specifics of each insurance company can be challenging. There are many different insurance companies. They all have self-service portals like Availity. Here are some others.
They all have their portals to provide self-service options. Doesn’t the word “verify” imply that the benefits are available to that patient? Well, it’s not that simple, and a plethora of information goes into the instant verification of benefits, billing, and collections.
It’s too familiar to revenue cycle managers when they see this complicated process. How can they differentiate what the patient’s benefits are? Do they also need to know how to bill the claim for the correct bill code? Many factors go into substance abuse building for a medical healthcare claim, from doctor’s notes to billing codes to even special regulations for specific insurance policies. When evaluating a medical claim based on the quoted insurance benefits, these all come into consideration.
The keyword is “guaranteed.” Even though you verify benefits, you could still make a mistake in any of these ways and more and not receive reimbursement. Instant verification of benefits is only the beginning step in submitting a claim to your insurance provider.
Why is Instant Verification of Benefits Complicated?
There is a lot that goes into the instant verification of benefits process. It is a complicated procedure. Here are some of the factors to be considered.
- What is the deductible amount?
- Are there out-of-pocket costs or co-pays?
- What telephone number do I call if you need the information on nights and weekends?
- Where do I go to find the self-service portal details online?
- What if it’s after hours?
I have been on the phone with an insurance company, and the phone automatically disconnects right at closing time, despite waiting on hold for over two hours. I had never heard that wonderful phrase, “Verification of Benefits is not a guarantee of payment.”
What about finding that information accurately 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, each insurance provider, such as Blue Cross Blue Shield, Aetna, and United Healthcare has different self-service portals for Benefits Verification. You have to log in to verify those benefits. And there is no guarantee that those portals will even be up and running.
instantvob™ Beats the Rest
Our instant insurance verification of benefits software does much more than the competition. instantvob™ demonstrates its efficacy with all insurance policies in one location. No more having to log in to multiple provider self-service portals on nights and weekends to verify insurance policy benefits. No more verification of benefits paper forms or letters. instantvob™ also gives you a “My VOBs” section to look at previous patients’ verifications, which can be 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™
Built mobile-first, instant insurance verification of benefits has never been easier with instantvob™. This tool can instantly verify hundreds of insurance policies in the palm of your hand. The verification of benefits form shows you everything from deductibles and out-of-pocket costs, even individual and family coverage levels. It also provides support for many different healthcare specialties. This tool has revolutionized how healthcare centers have verified benefits and increased revenue across the board to their customers. Most centers see a dramatic influx of patients due to the availability of providing accurate information to their patients promptly utilizing instantvob™. Avoid the need to tell patients, “I’ll call you back in an hour or 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 an estimated 90% of Americans are insurance dependent, whether private insurance, Medicare, or Medicaid, this information is paramount when verifying benefits.
Instant Insurance Verification of Benefits is Admissions Simplified
Our instant insurance verification of benefits supports many healthcare specialties, including substance use disorder treatment. We are helping drug rehab CEOs get more admissions with our program. The team at instantvob™ has worked tirelessly to create the most intuitive and consistent platform for delivering insurance benefit verification data. instantvob™’s goal is for drug rehabs to access the most accurate data with the least friction possible. However, this doesn’t mean it is limited to the substance abuse and mental health market. Anyone from any healthcare specialties, medical billing, and pharmacy owners can utilize this information to make informed decisions for the patient’s care and, even more importantly, avoid surprises for the patient.
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. You are still taking all the different steps to ensure your patient gets the clinical care needed and bills correctly for the financial care they deserve. Call us at 561-530-5755; we will help you get more admissions.