Insurance Eligibility Verification Service

Insurance Eligibility Verification Services

Expedite insurance reimbursements and streamline your claims process with our comprehensive services

Insurance eligibility verification is the first and one of the key steps in the medical billing and coding process. Most 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 reimbursements.

Outsourcing this to a service provider who has 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 insurance verification services to global clients to boost their process efficiency.

Medical Insurance Eligibility Verification Services For The Healthcare Industry

We have been in the medical billing and coding industry for over 20 years and have 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 -

  1. Document Checking

    Document Checking

    When we receive the documents from the healthcare organizations/insurance providers, we thoroughly analyze all the documents and verify them against the list of necessary documents. This process helps us organize the documents as needed by the insurance company.

  2. Verifying Patient's Insurance Coverage

    Verifying Patient's Insurance Coverage

    We verify insurance E&B and insurance coverage details of the patient with the primary and secondary payers either by contacting them directly or by checking their official online insurance portals a day before the scheduled patient encounter. Then we capture and update details in the patient notes - co-pay, deductible, co-insurance, in-network and out-of-network benefits, and PCP name matching.

  3. Patient Follow-up

    Patient Follow-up

    If required, we promptly contact the patient for a follow-up encounter to seek any missing or incorrect information and get the required authorization as a part of our service procedure check. This helps in keeping track of all the information and cross verifying these details before the final submission is made.

  4. Final Submission

    Final Submission

    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 Verification Services

The necessity for insurance eligibility verification services is one of the biggest questions from most healthcare organizations. Verifying the 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 increasing patient satisfaction.

  • Streamlines Workflow

    Eligibility responses are consistently and concisely viewed, which improves the overall efficiency of the process. Following such a 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, reclassifying them, and submitting their claims, which frees self-pay patients from financial burdens.

Why Choose Us As Your Insurance Eligibility Verification Company

At Flatworld Solutions, we have a well-trained team of medical coders who have worked with different healthcare firms across the world and follow a streamlined medical insurance eligibility verification process. Some of the reasons for you to partner with us include -

  • Insurance Data Security

    We have data security policies in place to ensure that all your medical insurance data remains completely safe with us.

  • Use of the Latest Medical Billing Software

    Our team is trained to successfully leverage the latest medical billing software and can work on multiple tools and technologies, depending on the preferences of the clients.

  • Accurate Insurance Verification Services

    We provide highly accurate verification of medical insurance claims to global clients and ensure that all the verification we carry out is completely error-free.

  • Quick Turnaround Time

    Delays in verification hampers the overall claim reimbursement process. For this reason, we provide quick verifications services which ensure timely reimbursements, without any delay or denial.

  • Robust Infrastructure

    We have state-of-the-art infrastructure, which enables us to provide our healthcare clients with quick, accurate, reliable insurance verification services at reasonable rates.

  • Cost-effective Rates

    We provide the best quality services at highly cost-effective rates, which help our clients to save huge on overhead costs.

Our Medical Billing & Coding Expertise

Insurance eligibility checking is a key medical billing process which directly affects the cash flow, and requires the expertise of seasoned medical coders. Flatworld is a one-stop-solution provider offering diverse services like charge entry, CPT & ICD-10 coding, payment posting, denial analysis, AR management, etc., and outsourcing medical coding and billing to us can help you maintain cash flow and reducing ineligibility.

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Medical Billing & Coding

Additional Services You Can Benefit From

Medical Transcription Services

With our comprehensive transcription services for healthcare professionals, you can access medical transcription and documentation that is accurate and error-free.

Medical Billing Services

With the latest billing tools and technologies, we can deliver error-free medical billing deliverables. We streamline medical billing process and comply with HIPAA requirements.

Revenue Cycle Management Services

Our trained resources handle your medical RCM requirements while complying with HIPAA requirements and maintaining the highest level of security.

Pharmacy Business Services

Our technology driven solutions help pharmacy businesses gain an edge over competitors. We offer services for pharmacies such as pharmacy billing, management, and mail-order services.

Healthcare Claims Adjudication Services

Our adjudication framework experts can handle electronic and manual adjudication. We prevent delays/denials in claims with our detailed discrepancy searches.

EMR Services

We offer electronic healthcare records system creation, implementation, customization, and updation as a part of our comprehensive EMR solution.

Telehealth Services

Our impactful solutions help healthcare providers offer high-quality remote services to patients from their doctors and physicians.

Medical Animation Services

We offer professional and artistic animation services for healthcare professionals. Leveraging the skills of animation and subject-matter experts, we create high-quality deliverables.

Client Success Stories

FWS Provided Insurance Eligibility and Verification Services to a Birth Control Telemedicine Provider

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.

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Case Study on Medical Billing patient Demographics

Medical Billing Case Study on patient Demographics

We helped a leading medical billing organization handle their patients' charge entry and demographic functions. We delivered our services with an error rate of less than 2%.

Read more

Outsource Insurance Eligibility Verification Services to Us


The team has been excellent. There is good and fast response to constructive criticism. Response times to my emails are usually less than 6 hours. This is very good.

Physician, Thyroid and Endocrine Specialists, Houston, Texas, USA More Testimonials ยป

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 20 years now. Our partners outsource insurance eligibility verification services to us because of the following reasons -

  • Our cost-effective services help clients save overhead costs
  • They can concentrate on other core functions and serve their patients better
  • Our streamlined verification process increases claims acceptance and reduce denials and write-offs
  • Our services help them get their medical claims quickly processed, which improves their cash flow

So, if you are planning to outsource insurance eligibility verification to a quick, reliable, and cost-effective service provider, then look no further.

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Flatworld Solutions

116 Village Blvd, Suite 200, Princeton, NJ 08540


Aeon Towers, J.P. Laurel Avenue, Bajada, Davao 8000

KSS Building, Buhangin Road Cor Olive Street, Davao City 8000

Our Customers

  • Movement Mortgage
  • Alcon
  • ARI
  • Maximus
  • Redwood E-Learning Systems

AHIMA Healthcare Convention 2016 Read More