MS Revenue & RCM Automation
Insurance Verification
MS Revenue & RCM Automation understands that insurance eligibility verification is the most critical and first step in the medical billing process. Research confirms that a significant number of claims are denied or delayed due to inadequate or incorrect coverage information provided by patients during visits, or when the current coverage information is not updated by the office or hospital staff. This lack of proper insurance eligibility verification directly impacts reimbursements.
We emphasize the importance of insurance eligibility verification and offer several benefits to our clients, including increasing revenue, minimizing delays and denials, improving collections, and reducing write-offs.
Our insurance eligibility verification process at MS Revenue & RCM Automation includes:
- Receiving schedules of patients via EDI, email, fax, or checking them daily in the appointment scheduling software.
- Verifying patients’ insurance coverage with primary and secondary payers through calls and authorized online insurance portals. We also contact patients for additional information if required.
- Updating the medical billing system with eligibility and verification details such as member ID, group ID, coverage period, co-pay, deductible, co-insurance information, and other code-level benefits information.
- Notifying the client immediately in case of issues regarding a patient’s eligibility.
Our dedicated insurance eligibility verification team delivers thorough verification, resulting in a dramatic reduction of our clients’ accounts receivable cycle. We ensure that your credentialing application gets the attention it deserves with our dedicated team of physician credentialing specialists.