The process of health insurance verification services involves checking the active coverage of the patients with the insurance company and related details...

1. Insurance Verification Services
- An Important Step in Medical Billing
-An article by OUTSOURCE STRATEGIES INTERNATIONAL
Main: (800) 670 2809
Fax: (877) 835-5442
URL: http://www.outsourcestrategies.com
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2. Summary: The process of health insurance verification services involves checking the
active coverage of the patients with the insurance company and related details...
Insurance Verification Services - an Important Step in Medical Billing
Understanding the importance of insurance verification
services has become imperative for medical service providers
because it has a major role to play as far as the claims denial
management program is concerned. The process of patient
eligibility verification involves checking the active coverage
of the patients with the insurance company and related
details.
Healthcare providers must remember that payers make
changes in their policies as well as updates in their health
plans. It is to be checked whether the patient is covered
under the new plan to ensure maximum benefits. When the
insurance coverage is confirmed, the claim is accepted on the
first submission itself.
It is important to conduct the verification process, at the patient point of access itself, in
order to avoid the claim getting rejected. Not doing so may lead to rework and denials.
Providing outdated and wrong information may result in the patient becoming ineligible for
the benefit claims, at the time of their policies being modified or terminated. Ensure that
the information is correct and proper, as a simple error can lead to the claims being
rejected or denied.
-The patient’s insurance details can be had either through online verification or by
directly calling up the insurance payer.
-Verified details fall in the category of payable benefits (both primary and secondary
being covered under this), co-insurance details, coverage details, type of plans, patient
details, deductibles, co-pays, patient policy status and many more.
-Double check the information before submitting the same.

3. Professional Help Should Be Sought from a Reliable Service Provider
The main cause for claims being denied and the patient becoming ineligible for the benefits
is due to his plan having been modified or terminated. Another reason for denial of claim or
delay in payment is due to the wrong insurance carrier being billed or due to incorrect
patient co-pay and deductible details. Wrong or outdated information provided by the
patient can also result in his claim being denied.
Providers of insurance verification services ensure that the patient information provided is
correct and see to it that collections from payers and the patients are made in a timely
manner. Thus companies providing accurate insurance verification and authorization
services are a great support to healthcare providers.
Outsourcing Patient Eligibility Verification – Points in Favor
Outsourced insurance verification services from a reliable medical billing company can
lower the stress of handling eligibility verification. Several benefits, which can be gained by
outsourcing the job include:
-Business operations are streamlined
-Focus on core business activities
-Risk factors are reduced
-Reduced effort
-Workflow is simplified
-Reduced rejection of claims
-Reduction of paperwork
-Accessibility to specialized services
-Billing cycles are faster
-Functioning of your organization is enhanced
-Delays in payment are minimized to a great extent
-Improvement in the productivity of your staff
-Marked increase in the sale economies and office efficiency
-Reworking of claims is reduced
About Outsource Strategies International
Outsource Strategies International (OSI) is a leading healthcare business process
outsourcing company that provides health insurance verification and authorization
as an integral part of its medical billing services. Call 1-800-670-2809