Health Insurance Eligibility Verification

Insurance Eligibility VerificationNowadays, healthcare facilities often consider eligibility verification as a challenging task. Due to the changing insurance rules and guidelines as well as freshly insured patients, the challenge has turned out to be even bigger.

In order to enhance the cash flow, doctors require authenticating entitlement as well as profiting coverage before the claim submission.

It has been seen that most of the patients are unaware of how actually insurance mechanism works because it comes with a number of cost-sharing options.

The Health Insurance Eligibility Verification is mainly considered as the process to validate patient insurance in terms of coverage status, active or inactive status as well as eligibility status. Without all this information, there are chances that healthcare services might be disrupted.

DataPlusValue is considered as the recognized medical billing company that takes care of all your patient eligibility verification as well as authorization requirements.

We are indulged in offering you quality services in order to help you out for:

  • Improving workflow
  • Reducing denials
  • Saving time
  • Minimizing delayed payments
  • Enhancing patient care and satisfaction

Accurate real-time data can be provided on patients benefits by our team of professionals before the visit. You can call us on our toll-free number which is present on the site and seek help from our experts.

Process of complete eligibility verification

Our verification process is very simple, while we can also easily work with your software and login using a VPN. Through email, fax or VDI, we get the schedules from the hospital. Once the schedule is received, our team starts to verify all patient benefits.

Through our services we cover particular codes, surgeries, Medicare managed plans, procedure, drugs and many more. In order to know about the complete verification of insurance benefits, our company professionals make a call to insurance company and patients.

Our team will verify:

  • Co-pays
  • Claims mailing address
  • Patient policy status
  • Co-insurance
  • Deductibles
  • Payable benefits
  • Out of network benefits
  • Effective date
  • Referrals and pre-authorizations
  • Plan exclusions
  • DME reimbursement
  • Type of plan & coverage details
  • Health insurance caps
Why Choose DataPlusValue?

We have a team of professionals who are available round the clock in order to meet your demands. We also offer a customized solution so that the exact requirement can be met easily. Therefore, we are well-equipped with all the facilities that help us in handling even large volume tasks with ease.

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