Eligibility Verification :-
Pre Insurance Eligibility Verification
A crucial aspect of the medical billing process is the thorough verification of a patient's eligibility and benefits before scheduling an appointment.
We contact payers to confirm any patient payment responsibilities before or after treatment. Our team of expert tele-callers completes this verification process within 24 hours.
Details Verified by TOP GROUP MED
Effective date and coverage details
Type of plan
Payable benefits
Co-pay
Deductibles
Co-insurance
Claims mailing address
Referrals & pre-authorizations
Pre-existing clause
Lifetime maximum
Other related information
This information is collected and verified before the patient appointment date to facilitate referrals, obtain prior authorization numbers, optimize the billing process, and prevent denials due to invalid benefits and eligibility issues.
After completing the verification process and the patient visits the healthcare provider, treatment plans are developed.