To verify insurance eligibility, it is necessary to receive verification. Health insurance eligibility verification is the process of checking if a patient’s health insurance is active and covers the medical services they need. When you go to the doctor, the office will verify insurance eligibility.
For healthcare providers, verifying insurance eligibility means they can be more sure of getting paid for their services. When they know a patient’s insurance is active and covers their services, they can bill the insurance company directly. This can speed up the payment process.
Now we arrive at the core task: to verify insurance eligibility. Your system will use the patient’s information to check with the insurance company.
This is usually an automatic process, and the system sends a request to the insurance provider’s database.
After the service is completed, you need to submit the claim to the insurance company. Most providers use a software system or an online portal for this step.
Accuracy and timeliness in verifying insurance eligibility are both helpful. When you verify insurance eligibility accurately, you help to avoid billing errors.
Billing errors can lead to claim denials, which can delay payment and create more work for your office.
To verify insurance eligibility accurately, you can use a few strategies. First, you should consider the accuracy of the data sources. Insurance carriers are constantly updating their records, and it is important to access the most up-to-date information.
You can do this by leveraging technology, such as automated eligibility and benefit verification systems. These systems are designed to access accurate information in real time from the carrier.
You can also take advantage of features such as electronic remittance advice (ERA) to gain further insight into patient eligibility and coverage.
Second, consider using a system that offers real-time verification, which immediately gives you the patient’s eligibility status. This system can also be integrated with your existing workflows, such as appointment scheduling and billing.
Using instantVOB® is straightforward. You will need to enter five patient identifiers, and it gives you comprehensive data about the patient’s insurance benefits. You can customize reports for compliance management, and it ensures total security for data and access.
You can contact the patient’s insurance provider to get their eligibility information in advance. You can also use electronic eligibility verification systems that give you quick access to the patient’s coverage information.
If you or someone you know is struggling to verify insurance eligibility, consider contacting instantVOB®. Our mobile-first solution saves healthcare, drug rehab admissions teams, and revenue cycle management teams by providing fast and accurate reimbursement estimates.
We are tailored specifically for hospitals, substance use facilities, mental health centers, and individual practitioners. So, we understand how to support healthcare providers and patients to make better, more confident treatment decisions.
Reach out to instantVOB® today, and we’ll help you verify insurance eligibility.