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O2I Provided Pharmacy Insurance & Medical Insurance Eligibility Services to a Telemedicine Provider

Case Study on Insurance Eligibility Services for Telemedicine Provider

The Client

The US client is a provider of birth control telemedicine as well as medication delivery service. As part of the operation, they write prescriptions for Arizona, Illinois, Pennsylvania, California, Washington, and Nevada residents for up to a year. The client transferred their clienteles' prescription from their former pharmacy to the partnering pharmacy. They involved in pickup and delivery of medication to patients at their designated address.

Client's Requirement & Challenges

Outsoure2india was approached by the client to get help in eligibility verification and texting the status. Typically, the insurance information can only be availed by accessing an insurance carrier's website or getting in touch with their representatives.

The client faced difficulty in conducting eligibility verification for pharmacy insurance and medical insurance for members ordering birth control pills. They also had to text members to inform the order status which delayed the service delivery. The time spent on insurance eligibility checks and texting delivery status affected several process areas that included sharing cash price quote as well as prescription delivery.

Our Solution

Our long-drawn skills in sourcing insurance information helped the client in a big way. Our team consulted with insurance career website and their representatives to gather information needed by the client's customer. As part of our high-quality services, we sourced the following information from the carrier and updated the same on their web portal -

  • Medical Insurance

    • Name of insurance company
    • Medical ID #
    • Group # (if any)
    • Effective Date (will usually not be on the insurance card)
    • Primary cardholder (who does not this insurance plan belong to)
  • Pharmacy Insurance (it may be on the back of the card!)

    • Pharmacy ID # (if on a separate pharmacy insurance card)
    • Rx BIN - usually a 6-digit number
    • Rx PCN (if any)
    • Rx Group (if any)

The Results

Being experienced in pharmacy insurance & medical insurance eligibility services we successfully completed eligibility verification within the stipulated deadline and updated the information on the website accessible to users. Our cost-effective services led to safe management of data and faster distribution of medications to customers of the telemedicine provider.

Outsource Insurance Eligibility Verification Services to O2I - Leader in Healthcare Services

Outsource2india is an ISO certified company backed by 25 years of experience in insurance eligibility verification services. We have already served over 100+ clients worldwide with insurance eligibility checks. Our team of insurance experts has over 10 years of experience in various insurance services. With deep domain-level knowledge of the pharmaceutical industry insurance, we are your best bet to quickly overcome challenges. We have multiple global delivery centers that are well-equipped to handle your requirements. We can also work as your team's extension (if required). As part of our service we also provide 24/7 support, so you know we are always within arm's reach when you need to reach us.

Save more than 50% of your spending by outsourcing insurance verification to us. Get in touch with our team to partner with the best service provider.

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