Eligibility Verification
Imagine yourself waiting in your office, and a patient is sitting in your waiting room, and a staff member is running around trying to make sure that their insurance will cover their appointment. But that is a scene that happens in doctors' offices all day, and it usually doesn't turn out very well for either party. Eligibility Verification is here at SolBridge Solutions to ensure that scramble doesn't happen again in your practice.
We verify coverage, plan benefits, copays, the status of the deductible and/or any service restrictions with a patient before their appointment. We do this before the visit, not at the front desk, so your front desk knows what is going on when they show up for the visit. We identify coverage gaps early, allowing your revenue team to reach out to the patient before treatment to resolve any coverage issues, not after a claim is denied.
Insurance policies are always subject to change. What might have been in effect for the patient last month could be different this month: a different plan, a different deductible, a different network, and none of that will be apparent unless someone looks. We check the eligibility directly with the payers for each and every appointment and never let the old information pass through as a claim weeks later without payment.
Verification protects more than your revenue, too. Patients want to understand what they are responsible for before sitting down with a provider, and a practice that can explain this to them will establish trust in no time. If your employees can explain exactly what your plan covers, payment discussions don't seem to come out of nowhere and begin to seem like part of the care.
We can manage eligibility for practices of all sizes, from small practices with a few appointments a day to larger practices with a full-schedule set up in multiple specialties. Our verification reports come in a format that your team can respond to right away, without having to navigate payer portals or be placed on hold with insurance representatives.
Some of the most common areas where practices lose money are related to eligibility denials, and they are some of the easiest to avoid. It's much cheaper to discover the problem before the visit than after.
To learn how to make your revenue cycle more efficient, give us a call at 1-844-687-3700 or contact us on our contact page. We would be happy to demonstrate its operation.