Eligibility Verification
Eligibility verification is a critical step for healthcare service providers to ensure medical claim reimbursement in exchange for their services. A comprehensive eligibility verification decreases the probability of potential delays and denials in revenue. At EVS, we specialize in verifying a patient’s coverage. We check every point thoroughly to determine if the treatment comes under insurance coverage or not.

Steps EVS Follows in Patient Eligibility Verification
Proper patient eligibility verification prevents conditions in which appointments are postponed due to a lack of payment. EVS begins the process by patient scheduling and information collection to ensure a smooth revenue cycle.

Here are some top steps we follow to ensure efficient eligibility verification.

Insurance Verification Checklist
We start with gathering patient details, such as their name, date of birth, address, insurance carrier's name, ID number, social security number, and information about their insurance coverage. This information covers the type of plan, coverage details, policy status, pre-authorization, applicable co-pays, deductibles, and more. Verifying patient background and connecting with the insurer is crucial for effective treatment planning, pre-authorizations, and referrals.

Verify the Insurance Card
We examine the patient's insurance card to confirm eligibility, insurance coverage, current benefits, and the insurance network. This eliminates the possibility of claim rejections and allows the payer to inform practitioners about policy limitations, deductibles, documentation, coinsurance responsibilities, co-pays, etc.

Contact the Patients
In this step, we record a patient's information in a standard format to ensure HIPPA compliance for data security. We inform the patients about their coverage, treatment options, and financial responsibilities, giving them time to make informed decisions and secure the necessary funds.

Why Is EVS the Right Partner for Eligibility Verification?

Our Expertise
We have practical experience of many years, which has honed our skills to perfection. Our dedicated team of professionals understands the nuances of insurance verification, ensuring accuracy and efficiency at every step.

Custom Solutions
Based on our findings, we comprehensively analyze your requirements and design a bespoke service strategy for you. Whether your requirements are related to personalized patient portals, efficient cloud storage, or cutting-edge robotic process automation – we adapt to your needs.

Boost the Efficiency of Your Operations
Eliminating bottlenecks and reducing delays, we streamline your workflow and ensure a seamless experience for you and your patients.

Your Success Is Our Mission
Your success is not just a goal; it’s our mission. We work tirelessly to ensure your revenue cycles are smooth, your patients are satisfied, and your practice thrives. Your success story becomes our pride.

Cost-effective Services
Our services are not only top-notch but also cost-effective. We offer exceptional value, ensuring you receive the best without burning a hole in your pocket.

Contact us

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