3 Ways to do Patient's Insurance Verification & Eligibility

3 Ways to do Patient's Insurance Verification & Eligibility

Insurance verification plays a major role in healthcare reimbursement. Your practice has to complete the verification at the time of scheduling the patient to know whether your patient has a valid and active coverage or not. Submitting claims without Insurance verification may result in claims rejection or denial which can impact your practice’s bottom line.

Traditional way of Insurance verification process is by calling the insurance companies or checking multiple insurance’s websites and getting all the required information and updating the same in the verification Form but our Insurance Verification Software provides 3 easy and advanced methods to check patient benefits

Traditional Method eClaimStatus enables
Call the Insurance representative at their business hour or log into multiple carrier's websites and do Insurance Verification eCS provides any time access to 900+ extensive payer connectivity under one roof.
Case by case Verification Bulk Option to do verification. Do you want to do verification for 50,000 patients in a day? Yes, you can.
Possibility of human error (typo error) due to manual intervention or missing any benefit to track Delivers 100% Real Time Data per payer system, covers Verification as well as benefits in a tailor made template
Need to spend more on pay roll and infra Lowers billing and collections costs
Time consuming process and high AR days Decreases turnaround time on accounts receivable

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Comprehensive Health Care Insurance Eligibility Process:

eClaimStatus team has 22 years experience in Medical Billing and serving multiple practices, hospitals and Medical Billing companies . We provide 3 easy ways to do Insurance verification from 900+ Insurances nationwide including Medicare, Medicaid, Blue Cross Blue Shield, Aetna, Cigna, UHC, etc.,

Our comprehensive and efficient Insurance Verification service
  • Speed up your billing process
  • Free up your staff from Insurance Verification
  • Error free Real Time benefits
  • Reduces billing errors and denials
  • Increases your first pass ratio
  • Reduces bad debt
  • Increases cash flow
  • Improves patient satisfaction

Highlights of our Insurance Verification Service

  • Batch and real-time method
  • Cost savings
  • HIPAA compliance
  • No long-term contract
  • No set up fees
  • API friendly

Insurance Verification for a Single Patient

This method is similar to the case by case verification from insurance portal by providing patient name, DOB, policy# Service type and Service date. To get the appropriate benefit, you need to select the appropriate specialty/service type during your input. We do provide multiple search options based on the payer selection.

eClaimStatus delivers

  • Coverage Active/Inactive Status
  • Real-time deductible remaining
  • Pre-Cert Requirement info
  • Out of Pocket Stop Loss
  • In/Out of Network benefits
  • Co-insurance percentages
  • PCP, Specialist Co-pay
  • PCP Information
  • COB information
  • Plan Info - PPO, HMO, etc.
  • IPA information
  • Therapy Cap
  • PT /OT/ST Benefits
  • Limitations in terms of Visits/Monitory benefits and more

Insurance Verification for Multiple Patients

eClaimStatus enables you to do Insurance Verification by just downloading your patient details from your scheduler. All you need to do is just upload your input data in .xls format which may contains any number of payers; any number of rendering providers and any service type depends on the servicing provider’s specialty.

Here is our sample input template. You can upload any number of patients in a day. For each batch upload, you will get a unique batch ID.

Provider NPI Payer ID Service Type Member ID Last Name First Name Patient DOB Patient A/C# Eligibility From Eligibility To
1234567890 EAET0007 30 W123456789 Cernas Ferderico 11/10/2000 12345 11/19/2019 11/19/2019
1234567891 ECIG0203 30 U1234567890 Reaser Troy 10/30/1960 45632 11/11/2019 11/11/2019
1234567892 UHCC0137 PT 923568923 Messer William 10/28/1976 12389 11/10/2019 11/10/2019
1234567893 HUMC0111 98 H12345678 Kramer Christine 10/11/1954 12346 11/17/2019 11/17/2019
1234567894 ALLC0123 A4 C05629715 Robison Rose 12/28/1947 14563 11/15/2019 11/15/2019
You can get the Insurance Verification output in two printable formats (.pdf & .xls). Once you hit the zip icon, your .pdf outputs will be arranged into two folders namely “Active” and “Others”. Active folder consists of all active coverages and the Others contains all inactive coverages.

You can concentrate on the “Others” folder and get the valid coverage details by getting in touch with those patients. By click on excel icon, you can get the excel output

Insurance Verification Thru API

eClaimStatus’s Application Program Interface (API)  facilitates the secure exchange of Insurance Eligibility Verification transactions. It integrates your practice management or your internal work flow management software and automates the Insurance Verification process.

All you need to do is just post a request by using JSON format to our designated URL. Once the request is received by our Service an immediate response is sent for each request posted.

Our outputs are customizable based on your internal requirements. Once the quick initial set up is done, you can automate your insurance verification process without man power intervention.