- Revenue Cycle Management
- Electronic Health Records
- Telehealth
- Deliver a Modern Patient Experience
- Practice Management
- Healthcare Analytics
- IT Equipment and Services
- Medical Billing
- Digital Marketing
- Credentialing Services
- Patient Inquiries Helpline
- Claims Coding
- Claim Submission
- Denial Management & Appeals
- Payment Posting
- Customized Reporting
- Patient Statements
ProcareMedex Simplifies the Eligibility Verification Process
Verifying insurance eligibility is the first and most important step of the billing process. We believe in taking a proactive approach by carefully verifying all details of patient eligibility and benefits before the patient is seen in the office. In the long run, this approach prevents denials, minimizes delays in payment, reduces workload, and increases patient satisfaction. Our team accurately confirms eligibility and makes sure that any services provided will be reimbursed in order to prevent any discrepancies before they arise.
Unique features of our eligibility verification services:
Unique features of our eligibility verification services:
• Fully compliant
• Highly accurate
• Assure data security
• Establish error-free workflows
• Provide quick turnaround times
• Utilize the latest billing software and high-speed technology
• Offer customizable plans at cost-effective rates
By avoiding errors in eligibility verification, we eliminate a common source of insurance claim delays and denials. Accurate eligibility verification allows for expedited processing of medical claims and increased cash flow.
Our proven method works to maximize revenue, minimize delays in reimbursement, and cut administrative costs while allowing medical practices to better prioritize patient care.
ProcareMedex works as an extension of the medical practice to provide highly accurate, efficient, cost-effective eligibility verification services. Our billing experts have many years of experience and are up to date with rapidly changing health plans and policies.
We use an organized, detail-oriented process that results in clean claim submissions and minimized denials and write-offs. Our comprehensive eligibility verification services confirm coverage prior to office visits so that providers can be sure that provided services will be reimbursed.
ProcareMedex is a well-known medical billing provider serving practices throughout the United States. Our full suite of services, including eligibility verification, are tailored to meet the specific needs of each client. Our goal is to provide efficient and cost-effective end-to-end billing services so that medical practices can prioritize their patients while we prioritize their business.
Why Choose ProcareMedex
Our experienced team collects and records all eligibility data accurately to ensure that coverage is verified before any services are provided. Our preemptive, detail-oriented approach is proven to reduce denials and maximize collections. By avoiding unnecessary delays and denials, we increase cash flow and decrease revenue loss.
Our eligibility verification specialists will confirm every aspect of patient benefits, including:
• Primary and secondary coverage details • Co-insurance • Deductibles • Co-pays • Coverage duration • Payable benefits • Referrals
We work proactively and communicate efficiently with payers to identify and correct any missing or erroneous data. Our eligibility verification experts use the best available channel to contact payers, including web portals, IVR, or live phone calls.
Outsourcing to ProcareMedex ensures timely and accurate insurance eligibility while reducing administrative expenditures for the office.
Improved cash flow: Claims that have access to the most recent eligibility information are more likely to get approved quickly. Denials and write-offs are minimized and patient satisfaction improves, allowing the company to maintain a stable cash flow. Streamlined workflow: Efficient eligibility verification requires a consistent, detail-oriented approach. Eligibility responses are viewed logically to ensure accuracy and establish a workflow that maximizes clean claims and minimizes delays and denials down the line.