Emergency Room | Urgent Care Insurance Verifications

Emergency Room | Urgent Care Insurance Verifications

Even though patient satisfaction is not directly tied to your hospital’s reimbursements, studies show that more than three-fourths of all unscheduled admissions—a major source of hospital revenue— comes through Emergency Department/Urgent Care. A patient’s perspective of the Emergency Department and their inpatient experience has a direct impact on your HCAPHS scores. That means high patient satisfaction scores are not just vital to the reputation of your practice, but also to the well-being of your entire hospital, eClaimStatus help’s increase the reputation and boost the patient satisfaction of your practice. Contributing Factors to Poor Patient Satisfaction: The front office faces some unique challenges when it comes to improving patient satisfaction

  • Long wait times to verify patient benefits
  • Patient volume increases while resources to manage remain the same
  • Limited communication with patients
  • Failure to collect the correct patient portion
  • Surprise Bill
If allowed to persist, these factors can multiply until the community holds a negative opinion of the practice, leading to loss of market share. Fortunately, these hurdles can be easily overcome by implementing eClaimStatus, with a wide payer network of 800 and fetching benefits in seconds, no longer wait time for patients or Surprise bills.

What information eClaimStatus fetches you?

  • Coverage Active/Inactive Status
  • Real-time deductible remaining
  • Pre-Cert Requirement info
  • Out of Pocket Stop Clause
  • In/Out of Network benefits
  • Co-insurance percentages
  • Co-pay information
  • PCP Information where applicable
  • Other payer information, for example MCO’s or Medicare replacement plans
  • Plan Info - PPO, HMO, etc.
  • Claims mailing address
  • IPA information
  • Limitations and more

Emergency Room | Urgent Care Insurance Verifications

For Enquiry

 
eClaimStatus Delivers Solutions that Empower Value- Driven
Healthcare Environments
Insurance Verification Software

Manual insurance verification burdens front office staff and leads to costly errors, with 30% of denials linked to coverage issues. eClaimStatus Insurance Verification Software automates this process, reducing mistakes, improving cash flow, boosting point-of-service collections, and enhancing patient satisfaction—delivering measurable improvements within just 30 days of implementation.

Health Insurance Eligibility Verification

Fetch patients’ eligibility & benefits information from over 900+ payers in seconds on one platform. Single or Multiple claims, get real time status in seconds. Optimize your revenue by routing each claim to the correct payer on timely basis.

Health Insurance Claim Status

Get instant, updated insurance claim status for single or multiple patients in seconds. Take timely action for effective claims denial management. Optimize your practice’s revenue by eliminating payment risks. Save time and money by getting rid of long hold over phone.

Insurance Discovery

eClaimStatus Insurance Discovery Software combines 25+ years of revenue cycle expertise with advanced, technology-driven algorithms to uncover previously unknown, missed, or uncollected commercial and federal coverages. This powerful blend of human insight and automation ensures accurate coverage identification, optimizing reimbursements and improving overall revenue cycle performance.

Prior Authorization Automation Services

Our Prior Authorization Automation Service reduces administrative burden by streamlining the approval process required by insurers for medical procedures, treatments, or medications. By automating key steps—from eligibility verification to payer follow-ups—it saves time, minimizes errors, and improves efficiency for both healthcare providers and patients.

Mental Health Insurance Verification

eClaimStatus streamlines Mental Health Insurance Verification by providing real-time eligibility and benefits information across 800 payers. This reduces wait times and phone calls, improves administrative efficiency, ensures accurate patient responsibility collection, and allows front-office staff to focus more on patient care—enhancing both operational savings and patient satisfaction.

Physical Therapy Insurance Verification

eClaimStatus simplifies Physical Therapy Insurance Verification with real-time access to eligibility and benefits from 900 payers. It reduces phone calls, eliminates wait times, and ensures accurate patient responsibility collection. This boosts administrative efficiency, allowing providers to spend more time delivering personalized patient care and enhancing overall clinic productivity.

Chiropractic Insurance Verification

eClaimStatus streamlines insurance verification for Chiropractic care by offering real- time access to eligibility and benefits across 800 payers. It reduces wait times and phone calls, improves administrative efficiency, and ensures accurate patient responsibility collection—allowing providers to focus more on personalized chiropractic care and enhancing overall patient satisfaction.

Insurance Discovery for Ambulance Billing

eClaimStatus simplifies Insurance Discovery for Ambulance Billing by identifying active patient coverages and determining correct coverage hierarchy. This ensures accurate claim routing to the appropriate payer, helping EMS providers reduce denials, improve billing performance, and increase revenue—while continuing to deliver critical emergency medical services efficiently.

Insurance Verification

Insurance verification is essential for successful healthcare reimbursement. Verifying coverage at the time of scheduling ensures patients have active insurance, helping prevent claim denials or rejections. Skipping this step can lead to revenue loss, making timely insurance verification crucial for maintaining your practice’s financial health and operational efficiency.