Confirm insurance coverage, co-pays, deductibles, and patient responsibilities before service to prevent claim denials.
Claims denied due to inactive coverage, incorrect policy information, or services not covered under patient benefits create costly rework.
Staff spend hours on hold with insurance companies verifying coverage, taking time away from patient care and other critical tasks.
Failure to verify benefits upfront leads to unexpected patient bills, collection problems, and damaged patient relationships.
Services requiring prior authorization are performed without approval, resulting in complete claim denials and zero payment.
Partial eligibility checks miss critical benefit details like deductibles, co-pays, and coverage limitations leading to payment issues.
Insurance coverage changes between scheduling and service date go undetected, causing point-of-service collection problems.
Automated electronic verification system checks insurance eligibility and benefits in real-time for every patient appointment.
Detailed review of patient benefits including deductibles, co-pays, co-insurance, and coverage limitations for planned services.
Proactive identification and management of services requiring prior authorization to prevent denials.
Re-verify insurance coverage on service date to catch any coverage changes that occurred after initial verification.
Real-time verification of active insurance coverage and policy details for every patient encounter.
Detailed analysis of patient benefits including financial responsibility and coverage limitations.
Identification and management of services requiring prior authorization or pre-certification.
Accurate estimates of patient financial responsibility for planned services.
We were drowning in eligibility denials - over 28% of our claims. Medtransic's real-time verification system reduced that to under 4% in just three months. Our staff is no longer on hold with insurance companies, and patients appreciate knowing their costs upfront. It's been a game-changer.
Contact Medtransic today for expert eligibility verification services. Call 888-777-0860 or visit https://medtransic.com/contact for a free consultation.