Medicare denials often occur when Co Ordination of Benefits is not determined and the claim is filed to the wrong payer, patients may not provide the front office with Primary Insurance or Other Insurance information leading to delayed reimbursement, eClaimStatus helps you to determine and differentiate between Primary and Secondary payers for Medicare, Real Time/Any Time
Information Required to get Medicare Insurance Verification:
- Patient Name
- Patient ID
- Patient Date of Birth
What information do we get back?
- Coverage Active/Inactive Status
- Real-time deductible remaining
- Other/Additional Payer Details - Medicare Secondary / Medicare Managed Care
- Co-Insurance Percentage
- Claims mailing address
- Therapy Cap details (PT, OT)
- Home Health benefit period
- Hospice Election / Episode periods along with Hospice Provider NPI details
- Limitations and more