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Eligibility/Authorization Services

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Authorization Services

Eligibility verification helps accepting claims on first submission!

Insurance eligibility verification is highly important to get our claims accepted and paid in first GO.Stats show that most of the denied or delayed claims are due to incorrect or inadequate coverage information provided by the patients during visits and current coverage information not updated by the clinic/ hospital / store staff and revenue cycle management. Lack of eligibility information directly impacts the reimbursements from insurances.



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Why opt for insurance eligibility verification and Authorization services?

Why opt for insurance eligibility verification and Authorization services? Insurance companies regularly make policy changes and updates in their health plans. Therefore, it is very important for the providers to verify if the patient is covered under the new plan to get maximum reimbursement and our Confirming the insurance coverage facilitates acceptance of the claim on the first submission, whereas non-verification leads to several discomforts like rework, decreased patient satisfaction and increased errors other than causing delays and denials. How we do it We have a highly trained staff that performs eligibility verification of benefits and Authorization service in order to avoid delays or errors in insurance coverage. Our team verifies coverage on all levels primary / secondary / tertiary payers by utilizing payer websites, automated voice response systems, or by making phone calls to payers. We also offer real-time pre-authorization services and revenue cycle management.