Talk to Medical Billing Experts!
We’re here to provide you with tailored medical billing solutions that streamline your process and maximize revenue. Let’s discuss how we can assist you in achieving seamless billing operations.
Make the Right Choice at Right Time with Right Team
Checking patients’ eligibility and verifying benefits can no longer be a decision in today's complicated insurance landscape. Now that insurers have changed their policies and deductibles, not to mention terms of coverage, eligibility has to be checked for each visit. An unverified patient's benefits result in claims being denied and staff time on rework, hurting cash flow. Our Eligibility & Benefits Verification service addresses these issues by carefully verifying the insurance status and benefits of each patient, which in turn permits your practice to go ahead confidently and transparently.
Our specialized team verifies each patient's insurance coverage, co-pays, deductibles, prior authorizations, and benefits before service is rendered to your practice. This reduces the denied claims and billing issues, prevents unexpected patient balances, and optimizes cash flow in your practice.
Our Eligibility and Benefits Verification Services
Coverage
We verify coverage information for patients with all payers to ensure accounts are correctly updated and that billing is seamless
Benefits Options
Record payable benefits, deductibles, and active policy status to prevent mistakes
Referral Authorizations
Proactively identify and document authorization or referral requirements, so you won't lose money.
Documentation
Accurate capture of patient benefits for smooth billing and reimbursement
Deductibles, Co-pays, Co-insurance
Accurate estimates on amounts for deductibles, co-pays, and co-insurance for smoother communication with patients
Exceptional Workflow
Generate Revenue and Optimize Patient Outcomes using workflows that are customized to your practice's needs.
Expert Eligibility and Benefits Verification is Just a Click Away!
Experience the smooth billing process with our patient eligibility verification and maximize your patient satisfaction.
Why Verifying Eligibility from a Third Party is Needed?
Optimized Accuracy to Potentiate Revenue Stability
Eligibility & Benefits Verification is one of the foundation services that directly affect the financial health of a practice. Eligibility verification errors may result in denied claims, time-consuming billing delays and patient dissatisfaction with unexpected charges. At [Your Company Name], we are in pursuit of accuracy and precision in eligibility verification to optimize the claims submission from the outset. By verifying the essential information of policy coverage, co-pays, deductibles, and pre-authorizations, we enable you to prevent rejections of claims, thereby maximizing revenue collection. This proactive measure makes your practice's revenues more stable through the prevention of services rendered without any coverage as well as the removal of costly revenue cycle errors.
- Verification of All Aspects of the Patient's Insurance Policy
- Consistent Cash Flow
- Decreased Errors and Reprocessing Claims
Improving the Patient Experience with Clear Billing
Most patients gripe about surprise out-of-pocket expenses or confusing billing information. With Eligibility & Benefits Verification service, we train your staff to notify the patient at least ahead of when the visit exactly what his coverage is so that at the point of the visit, they are aware of co-pays, deductibles, or limitations of coverage. This will then enable them to explain it clearly in advance of the visit, set realistic expectations, and reduce confusion in the patients. Our eligibility & benefits verification service will improve patient satisfaction since billing surprises often plague the practice, causing poor relations with the patients to last long in the future.
- Up-front Cost Estimates
- Enhanced Patient Trust and Loyalty.
- Smoother Patient Experience
Our Success in Numbers
We have been doing this a long time.
$100M+
Value of claims processed in 2023
99 %
Accounts Receivable Days
24
Value of claims processed in 2023
48 Hours
Turn Around Time (TAT)
26 Days
Turn Around Time for Payment
1,000,000
Number of Claims Processed
99%
Customer Retention
98%
First Pass Clean Claims Rate
10-15%
Revenue Improvement
33%
Reduction in A/R
What Our Customers Are Saying
"Medical Care Billing has transformed the way we manage our billing. Their attention to detail, accurate claims processing, and follow-ups have significantly improved our cash flow. "
Dr. Samuel Carter
Gastroenterology Specialist
"Our revenue cycle's more efficient than ever since Medical Care Billing Their coding and denial management expertise was invaluable to our practice."
Dr. Angela Hughes
OB/GYN
"Credentialing used to be a daunting task for our staff, but Medical Care Billing has made it easy. Their proactive communication and thoroughness stand out."
Mark Richardson
Clinic Administrator
"With their medical billing and front desk services, we’ve been able to reduce administrative burdens significantly. It’s allowed us to focus more on patient care."
Dr. Elaine Ford
Allergy and Immunology
"Wow! What a difference working with Medical Care Billing has made. Our billing is finally stress-free, and payments come in faster than ever!"
Dr. Linda O'Connor
Top 10 Medical Billing Companies
Trust Your Billing To The Company That Ranks
Almost 93 %
Clean claim ratio
About 91 %
1st submission pass rate
Up to 28 %
Revenue Increase
Benefits of Choosing Us for Medical Verification of Benefits
Real-time insurance verification
We help avoid last-minute surprises, making sure all patients and staff are updated on coverage.
Better Patient Retention and Loyalty to the Practice
We enhance patient experience and establish trust by providing clear, up-front information regarding insurance coverage and out-of-pocket costs.
Reduction in Billing Cycle Delays
Our anticipatory strategy sets the pace for the whole billing cycle and helps reduce the aging accounts receivable.
Reduced Administrative Workload
Our service also minimizes the workload of your front-office staff because we handle insurance verification meticulously.
Proactive Resolution to Problems
In case of any discrepancy in coverage or authorization, one needs to check before getting to a patient's appointment; hence we proactively prevent delays for smoother billing and reimbursement.
Customized Reporting and Transparency
It's complemented by in-depth reporting that helps to give your practice an accurate view on completed eligibility checks and verifications.
Know before you Jump in
Eligibility & Benefits Verification means that you are verifying a patient's coverage information before they have actually come in to see you. Why is this so important? It helps avoid rejected claims from being taken because of denied claims, lessening the delay for billing, and remains transparent both ways between the provider and the patient as it relates to out of pocket costs.
We validate eligibility on every visit to ensure that insurance is current. This is crucial because the coverage for patients can change at the drop of a hat. If checked each time, it eliminates the potential for billing or denial on claims.
It will help to improve the patient experience by clearly communicating with what that insurance pays for and what that patient will pay out-of-pocket for. Patients like to be transparent, and if there are no shocks of charges, it may be working on improving patient satisfaction and establish trust in your practice.
In the event that we find there are discrepancies in this verification, our company contacts the insurance company to rectify the issue before the patient's visit. We will communicate any pertinent coverage information with your staff so billing can continue uninterrupted
Our verification service reduces denials of claims by checking insurance details-these comprise things such as coverage, co-pays, deductibles, and pre-authorizations-very accurately. In advance of verification, we will allow our service to prevent common errors that lead to denied claims, which thus improves the revenue flow of your practice and reduces the requirement to resubmit.
Our Eligibility & Benefits Verification service is fully interoperable with most EHRs and Practice Management Systems, putting the updated patient insurance information at your fingertips, right inside your current system. This not only means that your staff can view eligibility without toggling between platforms but also integrates the eligibility information into the workflow.
Yes, with our Eligibility & Benefits Verification service, we can relieve the slow, painful process of inquiring about a patient's insurance eligibility from your front office staff. This will enable them to spend more time on patient needs and less on clerical work.
Easy to get started We will arrange a consultation to discuss particular needs for your practice and will develop a plan tailored to eligibility verification so you can receive timely and accurate information about patients' visits in order to help the billing process.
Trained Billing Staff
Our Expertise on Medical Care Billing Software
Our certified staff have hands-on expertise in billing and EMR/EHR software to complete your practices’ revenue cycle management. We also train front office and healthcare professionals to successfully use the system to develop effective progress notes and complete the clinical activity. Let us help your practice to streamline quality patient care.
