3 Ways to do Patient's Insurance Verification & Eligibility

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.

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.