Insurance eligibility verification is the first and one of the key steps in medical billing and coding process. Most of the medical claims are denied or delayed by the insurance companies mainly due to incorrect or inadequate coverage details provided by the patients during their visits or when the current coverage information is not updated by the hospital or administrative staff. This directly impacts the cash flow of the company by delaying the reimbursements.
Outsourcing this to a service provider having an experienced team of medical billing and coding experts, who are updated with all the regular changes in health plans and policies, will prevent delays and denials of insurance claims. At Flatworld Solutions, we have been offering quick and efficient eligibility verification services to global clients for over a decade.
Services We Offer
We have been in the medical billing and coding industry for over a decade and has worked with several clients around the globe. We understand the importance of accurate verification of medical insurance claims for an insurance provider, and ensure that our services are precise. Our offerings include -
When we receive the documents from the healthcare organizations / insurance providers, we thoroughly analyze all the documents and verify it against the list of the necessary documents. This process helps to organize the documents as needed by the insurance company.
Verifying Patient's Insurance Coverage
We verify insurance coverage of the patient with the primary and secondary payers either by contacting them directly or by checking their official online insurance portals
If required, we promptly contact the patient to seek any missing or incorrect information. This helps in keeping track of all the information and cross verifying these details before the final submission is made.
We provide the client with the final results, which include the information about patient's eligibility and benefits along with other details, such as group ID, member ID, start and end dates of the insurance coverage, copay information, etc.
Benefits of Insurance Eligibility Verification
"Why opt for insurance eligibility verification services" is one of the biggest questions that often bother most of the healthcare organizations. Verifying medical insurance eligibility of patients is of utmost importance as it directly affects the cash flow of these organizations.
Some of the benefits of outsourcing these services are listed here -
Improves Cash Flow
When there is access to updated eligibility data, the chances of getting the claims quickly accepted and processed are also high. This helps in maintaining a constant cash flow into the organization by reducing denials and write-offs and increase patient satisfaction.
Eligibility responses are consistently and concisely viewed, which improves overall efficiency of the process. Following such consistent and streamlined approach will lead to superior patient experience and fewer denials.
Boosts Self-pay Revenue
By electronically matching self-pay patients with managed Medicaid databases, healthcare providers can get additional reimbursement opportunities. This also helps in identifying patients who unknowingly have coverage, reclassify them and submit their claims, which frees self-pay patients from financial burdens.
Client Success Story
Flatworld Provided Insurance Eligibility and Verification Services to a Birth Control Telemedicine Provider
Read a case study to learn how FWS provided eligibility services to a US telemedicine provider. We verified the eligibility of individuals who applied for pharmacy and medical insurance.
Why Choose Us for Insurance Eligibility Verification Services?
At Flatworld Solutions, we have well-trained team of medical coders, who have the experience of working with different healthcare firms across the world and follow a streamlined medical insurance eligibility verification process. Some of the reasons for you to choose us include -
Outsource Insurance Eligibility Verification Services to Us
Flatworld Solutions is a leading insurance eligibility verification company and has been providing a series of medical billing and coding services to global clients for over 16 years now. Our cost-effective services help clients to not only save overhead costs, but also concentrate on other core functions and serve their patients better. We follow a streamlined verification process to increase claims acceptance and reduce denials and write-offs. Outsourcing insurance eligibility verification services to us will help you get your medical claims quickly processed, improving your cash flow.