Insurance Eligibility Verification Services

From Document Checking to Final Submissions

Cleaner Claims and Faster Reimbursements

Highly Affordable Insurance Verification Services

Accurate and efficient eligibility and benefits verification is crucial for the healthcare organization's financial well-being. The insurance eligibility verification process serves two important purposes. The first is to avoid rejections, denials, and re-doing of claims and the second is to improve clean claims rate and ensure a healthy cash flow. Scribe4Me's insurance verification specialists help save time and effort by providing efficient and hassle-free insurance eligibility and benefits verification services.

The first and most important step in revenue cycle management is to determine the patient's eligibility and insurance coverage. Most people tend to forget to renew their health insurance policy annually. And insurance companies are in no way responsible for payments covered under the plan during the period of lapse. As a result the patient has to pay for the services out of his own pocket. What if the patient is reluctant to pay the bills? That is why Scribe4Me performs Insurance Eligibility Verification to ensure that they have an active insurance coverage. Confirming that the insurance is currently active and covers the services to be provided helps to submit clean claims and avoid claim re-submissions. Insurance eligibility verification minimizes claim denials and delays, reduces write-offs, and optimizes collections

The Insurance Eligibility Verification process at Scribe4Me

  • Our insurance verification specialists will collect all the necessary documents from the healthcare provider.
  • Our team will then analyze the patient's insurance eligibility and benefits a day or two before the visit to make sure that the documents are authentic.
  • We collate the documents in the proper sequence as required by the insurance provider.
  • We get in touch with the insurance provider and verify the patients' insurance coverage details. For this purpose, our team will either access the insurance provider's online portal or connect with them over the phone.
  • Update the medical billing system with the insurance verification and eligibility details such as the member ID, group ID, insurance coverage dates, co-pay and deductible details, and much more.

We at Scribe4Me understand how crucial Insurance Eligibility Verification is and do all the necessary groundwork to reduce claim denials and generate a healthy revenue cycle. With Scribe4Me you can be assured of

  • An efficient and streamlined workflow
  • Increased cash flow
  • Decreased claim denials due to no coverage
  • Reduced rework on claims
  • Decreased accounts receivables days
  • Clean claim submissions

Revenue Cycle Management

Are you a healthcare provider under increased pressure to focus on providing care as well as maintaining financial viability? Do you feel overwhelmed with administrative and financial responsibilities? Feel like you are losing pace on follow-ups for efficient collection? Are you short of trained experts to handle the complex maze of RCM? Scribe4Me is here to help you.

Medical Coding

Medical Coding quality holds the key to accurate reimbursements. Scribe4Me has perfected the art of creating accurate and clean claims on the first go. We have a team of AAPC certified, trained medical coders who are proficient in coding rules and can provide accurate and complete coding necessary to optimize reimbursements.

Charge Entry Services

Accurate charges are crucial for claims to pass through the first time and Scribe4Me does it right, each time. It has been stated by insurance companies that 4 out of 10 claim denials are due to clerical errors. Charge Entry is a process of entering medical data to enable claims processing. At Scribe4Me we follow a well-structured Charge Entry Process and ensure that relevant checks are made at each level of the process.

Claims Transmission

Scribe4Me undertakes to do an EDI set-up for those medical practices that wish to get-off paper transaction claims and switch to electronic data interchange (EDI) for claim submission. Submission of the claims through EDI reduces the chances of inaccuracies and errors. Your claims will reach the payer instantly resulting in quicker reimbursements and eliminating claim processing delays.

Payment Posting

We believe that accurate charges contribute to attaining clean submission goals. Scribe4Me offers fast and accurate Payment Posting solutions as a part of the Revenue Cycle Management services and also as a standalone service depending on the client's requirements. Our team of experts has extensive experience in several specialties and in handling a wide range of medical software.

Accounts Receivable Management

We at Scribe4Me understand that Accounts Receivable is an important part of cash flow and requires rigorous follow up. That is why we have a streamlined system in place to control and manage your practice's accounts receivable and recovery. Simply trust the experts for efficiency, and we assure you that all the medical services provided by you will be paid for, fully and promptly.

Denial Management

Scribe4Me helps recoup revenue and maximize reimbursements Denial of medical claims is one of the major issues faced by physicians. Scribe4Me's Denial Management service is designed to perform a root-cause analysis, identify the reason for the denial and take action to resolve it. Most importantly we implement process improvements to stop recurring denials in its tracks.

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