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Verification of insurance benefits

Verification of Insurance Benefits

Verification of insurance benefits (VOB) is the first and most important step in the medical billing process.  The VOB process is no longer a simple eligibility check.  There is a difference between verification of benefits and verification of patient insurance coverage.  It requires an experienced staff who work with you and who understand payer benefit systems to eliminate the risk of inaccurate, incomplete, or out-of-date information.

VOB is a process in which insurance benefits are checked for potential clients.  This process entails making sure their health insurance is active, the payments are up to date, finding out the deductible and maximum out of pocket, as well as a variety of other questions. It is a way to ensure the services that you render will result in payment from the insurance company It is really the first step in ensuring payment from both the insurance company and the patient.  This process can be done by someone in-house or it is often done by the outside billing company.

Verifying benefits for a new patient’s insurance is crucial.  By checking all the information needed you are limiting any surprises when it comes to the patient’s insurance coverage, or what is not covered.  Just because verification of benefits shows a patient is active, you need to dive deeper and see that the patient is covered for certain services.  Also, how much is the insurance company willing to pay for this service.  Billing cycles are typically a week behind, if a verification of insurance benefits isn’t completed properly you run the risk of caring for an individual without valid benefits and won’t receive any financial compensation.

Completing a VOB successfully will put you on the right path for your revenue cycle.  Your coding, billing, utilization reviews and, if needed, insurance claim appeals will be made easier by starting with a strong verification of insurance benefits.

Verify insurance benfits submit claim get paid

Understanding insurance benifits keeps your revenue safe

It is important to be prepared.  Insurance companies can be challenging and each and every one has different stipulations for each and every policy.  So, you should be prepared with information and questions specific to each insurance company.  This will alert you with any red flags that could create a problem down the road. Each VOB needs to include the insurance representative’s name and reference number for the call if that isn’t noted it will be impossible to appeal a claim later on.  The verification of insurance benefits call is recorded to refer to if needed during claim follow up or the appeal process.

Once verification of the patient’s insurance coverage is complete it needs to be documented accurately.  The information collected while verifying insurance benefits is used to determine if the patient will fit your practice.  VOBs are often referred to throughout the billing process and if not documented properly it can affect every stage of your billing cycle.  Just as each patient is an individual so is their insurance. In order to keep a successful billing cycle and reduce insurance denials be sure that you are not only verifying insurance benefits, but you are also verifying patient insurance coverage.

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. 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™ 

Form for insurance verification of benefits

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

button for instantly verifying insuranve benefits

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.

Verification of benefits helping drug rehab owners

Drug Rehab CEOs – Stop Guessing With instantvob™

instantvob™ knows that owning and operating a drug rehab can be a difficult task. There are many aspects and moving parts to a drug and alcohol addiction treatment center. Some of these critical areas include business, clinical, and marketing. Sometimes they need comprehensive and utterly accurate information within seconds to help save lives. Although many own and operate a rehab to help genuinely, they need operating capital 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 decide how to help an individual on the phone. Unfortunately, health insurance plays a significant role in this process. The drug and alcohol addiction treatment centers need to verify insurance information in real-time. They need these critical answers in seconds 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

An estimated 20 million people in the US go without help for drug and alcohol addiction. There are many reasons for this; however, it is critical when someone reaches 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. The Center for Disease Control and Prevention released record opiate overdose numbers for 2021 that recorded over 200 lives per day. This is a considerable increase of 150 before the Covid-19 pandemic. Many drug rehabs are turning to instantvob™ to help them approve 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 their health insurance, they will be able to direct to a center that can; a critical responsibility. 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 ensure they get in contact with the best solution. They can add a three-way with the right center that accepts that insurance.

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

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 Instantly

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

Verifying treatment before admission is the only choice to answer questions regarding reimbursement. 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 web app 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 leverage our in-depth knowledge of substance abuse billing and revenue cycle management from Integrity Billing. This knowledge allows us to provide your teams with the fastest response with the most accurate information on the market today. These insights allow your teams to make the best-educated decisions on admissions.

Not All Methods of Benefits Verification Are Available on Nights and Weekends

Nights and weekends play a critical role in obtaining clients for drug rehab owners. Instant verification of benefits answers essential questions for drug rehab CEOs. However, they are not all made the same. As an addiction treatment center owner, you need quick and easy answers when finding out about potential clients’ insurance policies. Often, centers have an outdated verification of benefits process, or the numbers are simply incorrect. Some 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 instantvob™ provides the most comprehensive and up-to-date information within 8 seconds!
  • Health insurance information without errors allowing drug rehabs to update insurance before admissions
  • 24/7, 7 days per week
  • All of your insurance verifications are securely saved in our portal for reference anytime

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

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 patients insurance coverage status. We can get you up and running today!

 

How to verify insurance eligibility using instantvob

What Insurance Verification Programs Means for your Addiction Treatment Clinic

Insurance verification programs are critical considering 78% of potential clients admit to the first person who approves admission. Providing a process to eliminate barriers to patients’ care, such as insurance verification software, clinics not only help the patient through the complexities of health insurance but also improve their revenue cycle management.

Online Insurance Verification is Critical to Your Substance Abuse Clinic

To offer services to patients, clinics need to understand VOB and the benefits of the revenue cycle. Verifying benefits ensures the services you offer patients result in payments from insurance firms. It is one of the initial steps to acquire payments from the patient and the insurance company.

If you fail to verify a patient’s plan’s activation, you won’t receive payment for your services. On the other hand, it is also a way to know whether your patient has active coverage and is currently on premiums through Medicaid, Medicare, or any insurance policy. You will also verify whether your clinic is out or in-network with the patient’s plan.

Failure to verify the benefits process before admitting a patient to your clinic or offering services may result in certain disadvantages like claim rejections. You should verify eligibility benefits and coverage for hospital administrations, new patients, patients with a change in their scope, and high dollar procedures.

Insurance verification programs are needed for most non-emergency medical services and procedures. Stuck between patient care and administration, most clinic owners find it hard to complete the process quickly. Instant Verification of Benefits comes in handy in this. With their services, they make it easy for you and your staff to attend to other services and free up waiting on hold time from insurance companies.

Why you should choose Instantvob

Insurance verification programs help establish relationships and trust with patients. When it comes to instantvob, patients come first. Treatments are costly, and supporting patients with accurate and transparent benefits gives them a long life. The company contacts an insurance verification for substance abuse clinics with no surprise, upfront approach, thus enhancing the patient experience. Transparency helps establish your clinic and build trust and relationships with the patients.

Online insurance Verification has superior Functionality. You don’t have to wait to admit clients. Clinics get a significant percentage of potential clients after admission approval of their first-person. Instantvob is mobile optimized for any device usage. With all around the year access to its web application, you can obtain verifications of insurance benefits. With instant verification functionality, you can acquire:

  • Forecast of all care levels’ daily allowable amounts
  • Resubmit eligibility requests with new information to receive benefits any time
  • Offer your patient’s comprehensive benefits with a concise and clear three-page benefit summary
  • Fair and Most Convenient Pricing
  • All verified information about insurance benefits in less than eight seconds

Bottom Line
Insurance verification for substance abuse clinics is essential. It can save you time and the pain of insurance loss. Instant verification of benefits comes in handy in helping you with the process and ensuring you get paid for services you offer with no contracts and commitments. Contact instantvob to learn more about how we can help your clinic!

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

Why Instant Verification Of Benefits Saves You Time And How It Works

Why is instant verification of benefits so important? It can save your staff time and improve the patient experience. You can also lose revenue in admitting patients who do not have active policies or whose insurance company does not cover certain services. As a result, one of the first steps to ensure payment is to verify the patient’s benefits and determine whether you will receive reimbursement from the insurance company. Simplify this tedious process with instantvob™, a new web app designed for instant verification.

What Is Verification Of Benefits?

Verification Of Benefits for medical billing is verifying health insurance plan benefits with the insurance company to determine how much coverage an individual has. Even if a patient’s insurance policy is active, not all of their medical expenses will receive reimbursement from their insurance provider. Instant verifications of benefits services assist in determining how much coverage the insurance policy provides and who is responsible for covering it. When the insurance provider does not provide full reimbursement, many substance abuse centers have difficulty explaining to the patient that they are responsible for the payment and why. Most patients do not fully comprehend what services are not covered under their insurance policy and don’t understand why their insurance will not cover them. In far too many instances, patients refuse to make a payment. As a result, verifying that the insurance company will cover reimbursement is essential and typically completed before the patient’s admission.

Substance abuse facilities that experience a high volume of denied claims can benefit from instantvob™. You can ensure services get paid when the patient steps through your doors. instantvob™ allows you to see insurance benefits within seconds and verify all insurance information for errors and completeness, allowing facilities to update insurance information before admission.

In addition to maximizing revenue, instant verification increases patient satisfaction. Instant account verification allows you to verify the patient’s insurance coverage to determine if treatment services are reimbursable within seconds. A typical instant benefit verification takes 8 seconds or less when you use our instantvob™ tool.

You should also consider the patient experience. Years ago, outdated methods often took too long, but there was no faster alternative back then. Patients expect everything to be handled quickly with today’s improvements and modern technologies. If your facility has not updated its process with new technology, this can significantly hurt its bottom line as patient satisfaction diminishes. 

Benefits Of Using Verification of Benefits

Getting up-to-date substance abuse billing information helps reduce the guesswork of determining whether or not an addiction treatment center will receive reimbursement for its treatment services. Our online portal is fast and intuitive. Log in, enter the patient’s information into the application fields, and then hit submit. From that point:

  • Eligibility requests can be resubmitted with new information to verify benefits at any time.
  • You receive complete benefit data about every patient with a clear and concise 2-5 page benefit summary.
  • All historical insurance benefit verifications are stored in our portal for access at any time.

Reduce the number of denied claims your facility sees by using our advanced technology to verify benefits. Your staff can now view insurance eligibility in real-time and immediately know what services will be covered by the patient’s insurance provider. Whenever your team needs assistance, we are available 24/7 to deliver comprehensive and accurate benefit and eligibility information.

Our platform is intuitive and easy to understand, but our support team is available to answer any questions you may have. If you experience difficulty setting up user accounts or have problems understanding how to use the software, please reach out so we can assist.

Speak With Industry Experts

The advantage of using instantvob™’s medical billing verification of benefits is functionality, easy setup, and data encryption to protect your client’s information. Nevertheless, we know the importance of receiving reliable customer support, and our experts are available to answer any questions or concerns you and your team may have.

Just like a business is only as good as its technology, customer support is only as good as its team. You will be connected to highly trained and experienced industry experts to troubleshoot issues big and small. Our team will enable your team to build trust and relationships with your patients.

Verifying patient benefits can be confusing, so we have developed a platform that simplifies this process. Incorporating a workflow that involves instant verification the moment a patient walks through your doors will ensure that your facility receives reimbursement from the patient and the insurance company. With instantvob™, you will receive high-quality technology and customer support to take that first step into instant verification of benefits confidently. Contact us today or call 561-355-5755 for more information on our instant verification of benefits services.