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
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
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
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
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
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 -
We are an ISO 9001:2000 certified organization and follow 100% HIPAA compliance standards along with HL7, CPT, HCPCS, and ICD-10 security regulations.
We guarantee 100% data security and implement rigorous privacy, security, and confidentiality safeguards to ensure data is not compromised or breached in any way.
We deliver insurance eligibility services using the latest and advanced software such as Medisoft, QRS, Medical Manager, MISYS Tiger, Ortivus, Surgi Source, and MISYS.
Our delivery centers are equipped with advanced infrastructure such as Internet Leased Circuits, advanced IT solutions, 200% power backup, and more.
We audit patient information and verify eligibility and benefits through our dedicated QA teams to ensure accurate and filled claims are submitted.
We complete the verification processes quickly and within the agreed timeline because we operate round-the-clock from our global delivery centers.
Ease of Scalability
We have adequate resources and infrastructure to accommodate sudden surges and deliver seamless services to our clients.
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
With this service, we convert dictated notes on patient diagnosis and lab reports into detailed text documents to collaborate and improve patient.
Generate and submit accurate healthcare claims and get reimbursed on time without denials and rejections with our healthcare billing solutions.
Designate accurate alphanumeric codes to patient diagnoses, log data accurately and improve compliance with our healthcare coding solutions.
Get all critical aspects of revenue cycle management like denial management, accounts receivables, and payment posting covered with our end-to-end RCM services.
Determine accurate claims value and get an explanation of benefits with our comprehensive claims adjudication services.
Our EMR services is designed to enable end-to-end digitization including keying in data for smooth electronic data management.
Streamline the process of telehealth management by efficiently scheduling on-demand visits and video appointments with our telehealth services.
Get detailed and immersive medical animation developed for all your needs with our specialized 2D and 3D medical animation services.
Customer Success Stories
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
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.
Software At O2I Healthcare
Specialties HIPAA Compliance HIPAA 5010
Standards Compliance CPT Coding
Billing Process Charge
Entry Process Medical
Coding Process Medical
Claims Process FAQs on Medical Accounts
Receivable Services FAQs on Outsourcing
Claims Adjudication Services Medical
Transcription Process HL7 ICD-10 Compliance
- US-based Healthcare Research & Consulting Firm Approached O2I For Medical Transcription Services
- Outsource2india Provided Patient Onboarding Services to a Leading Healthcare Company
- Outsource2india Assisted a Florida-based Medical Billing Company with ICD-10 Implementation
- Caribbean Radiologists Got STAT Reports Automation Services from Outsource2india
- Outsource2india Helped a Medical Imaging Firm with Quick Teleradiology Services
- O2I Processed Over 3000 Encounters Related to Rehabilitation Care for a Group of Physicians from Indianapolis