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Insurance Eligibility Verification Services

Outsource Insurance Eligibility Verification Services

Reduce ineligibility and improve cash flow with our Insurance Eligibility Verification Services

Struggling to keep the finances of your practice sustainable? Is incorrect validation of insurance details, coverage, and lack of prior authorization resulting in denied claims and rejections? Streamline your insurance verification process and prevent delays in payments and reimbursements with our insurance eligibility verification services.

We are a reputed insurance eligibility verification company with 22+ tears of industry experience. Our services protect you from expensive write-offs by generating clean claims that are pre-verified. Driven by a team of skilled experts, we verify benefits and coverage details by integrating with various payer websites. Standardize your admission process and maximize returns with our medical insurance eligibility verification solutions.

Insurance Verification Services We Offer

Our team includes skilled and talented insurance specialists who are always geared to serve you. Some of the major insurance verification services we offer include -

  • Health Insurance Document Verification

    Health Insurance Document Verification

    We collect the insurance documents, verify the name of the insured, SS number, age, start and end date of the policy, the current status of the policy, and other details to confirm benefits and fast-track patient enrolment.

  • Patient Insurance Coverage Verification

    Patient Insurance Coverage Verification

    This service helps you check insurance coverage and other necessary details like co-insurance, co-pay, deductible, PCP name matching, in-network, and out-of-network benefits, and updates in the patient note.

  • Patient Information Correction

    Patient Information Correction

    Our resources follow up with the patients for missing documents or call them to get confirmation and updates on incorrect or missing information/documents. This checks for the patient’s active plans before enrolment.

  • Seek Prior Authorization

    Seek Prior Authorization

    Once the documents are verified and credentials established, we get in touch with the insurance carrier to seek authorization for the procedure. This increases the authenticity of the patient’s claims and prevents instances of denials.

  • Optimizing Claims Submission

    Optimizing Claims Submission

    We cross-verify the diagnoses, treatment plans, and other details before submitting the claims to the carrier. This determines the amount to be reimbursed and the timely payment posting.

Medical Insurance Eligibility Verification Process We Follow

Our process to deliver insurance verification services is driven by a well-defined checklist-based process. Our model consists of the following stages -


01. Patient Eligibility Verification

Our healthcare executives collect insurance documents from the patient and verify the patient's coverage details


02. Checking with Insurance Company for Payment/Missing Information

We seek authorization, identify patient payment obligations and get other clarifications from the insurance company


03. Patient Follow-up

Before scheduling the appointment or carrying out the procedure we inform the patient of his/her payment responsibilities


04. Final Submission

Once the documents are in order, we submit the final report with all the details of the claims to the client

Why Should You Choose Our Insurance Eligibility Verification Company?

When you outsource insurance eligibility verification services to us, we walk the extra mile to deliver beyond basic insurance eligibility verification solutions and enable our clients to accomplish more. Some of the unique aspects that set our services apart are -

  1. HIPAA Compliance

    We are an ISO 9001:2000 certified organization and follow 100% HIPAA compliance standards along with HL7, CPT, HCPCS, and ICD-10 security regulations.

  2. Data Security

    We guarantee 100% data security and implement rigorous privacy, security, and confidentiality safeguards to ensure data is not compromised or breached in any way.

  3. Advanced Tools and Software

    We deliver insurance eligibility services using the latest and advanced software such as Medisoft, QRS, Medical Manager, MISYS Tiger, Ortivus, Surgi Source, and MISYS.

  4. World-class Infrastructure

    Our delivery centers are equipped with advanced infrastructure such as Internet Leased Circuits, advanced IT solutions, 200% power backup, and more.

  5. Accuracy

    We audit patient information and verify eligibility and benefits through our dedicated QA teams to ensure accurate and filled claims are submitted.

  6. Faster TAT

    We complete the verification processes quickly and within the agreed timeline because we operate round-the-clock from our global delivery centers.

  7. Ease of Scalability

    We have adequate resources and infrastructure to accommodate sudden surges and deliver seamless services to our clients.

  8. Flexible Pricing Options

    We provide a wide range of pricing models based on hours, per unit work done, percentage collection basis, and more to suit your budgetary needs.

Additional Services You Can Benefit From

Medical Transcription Services

With this service, we convert dictated notes on patient diagnosis and lab reports into detailed text documents to collaborate and improve patient.

Medical Billing Services

Generate and submit accurate healthcare claims and get reimbursed on time without denials and rejections with our healthcare billing solutions.

Medical Coding Services

Designate accurate alphanumeric codes to patient diagnoses, log data accurately and improve compliance with our healthcare coding solutions.

Revenue Cycle Management Services

Get all critical aspects of revenue cycle management like denial management, accounts receivables, and payment posting covered with our end-to-end RCM services.

Healthcare Claims Adjudication Services

Determine accurate claims value and get an explanation of benefits with our comprehensive claims adjudication services.

EMR Services

Our EMR services is designed to enable end-to-end digitization including keying in data for smooth electronic data management.

Telehealth Services

Streamline the process of telehealth management by efficiently scheduling on-demand visits and video appointments with our telehealth services.

Medical Animation Services

Get detailed and immersive medical animation developed for all your needs with our specialized 2D and 3D medical animation services.

Customer Success Stories

Case Study on Insurance Eligibility Services for Telemedicine Provider

Outsource2india Provided Pharmacy Insurance and Medical Insurance Eligibility Services to a Telemedicine Provider

Outsource2india provided eligibility services to a US-based telemedicine provider. We checked the eligibility of their clients who furnished application to avail insurance and medications.

Read more
Case Study on Research and DME Billing Services

Research and DME Billing Services

Outsource2india helped Tustin-based client with DME billing and research services, which allowed them to negotiate with the insurance companies about the respective EndoPAT coverage.

Read more

Outsource Insurance Eligibility Verification Services to Standardize Admissions and Improve Patient Flow


O2I provides a reliable and efficient medical billing service. They have helped improve collections and lower receivables for my clients.

Founder & CEO,
Billing Company in the east coast
More Testimonials »

The fallout of improper insurance verification is huge. Despite trying their best, healthcare practices are finding it difficult to avoid the traps. The easy way to streamline insurance verification process is outsourcing it to a reputed and experienced insurance verification company, like ours. We navigate through the misinformation provided by the carriers and ensure accurate documentation to standardize your admission process. Our insurance verification support empowers you with -

  • Adequate resources to process fluctuating volumes of insurance verification files
  • A well-defined process to make insurance verification fool-proof and time-bound

Collate and verify patient information, obtain pre-authorization, and estimate reimbursements to maximize cash flow with our insurance verification services.

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