ScribeEMR

Insurance Eligibility

Insurance Eligibility

Efficient Insurance Eligibility Verification, Clean Submission

Insurance eligibility verification is critical to ensuring accurate and timely receipt of information regarding insurance coverage. It helps to determine the responsibility that the patient and the insurance provider have to share to pay for healthcare services.

Verifying Insurance Eligibility involves:

Accurately recording personal information of the patient and their insurance coverage

Contacting Insurance Provider, confirming the policy, and obtaining Pre-authorization(s)

Following up with the patient, if needed, and updating the billing system

Verifying the insurance eligibility offers clinicians a clear view of the patient’s coverage that determines the type of treatment they can provide to the patient while minimizing the patient’s financial burden. Medical insurance should be always be verified before the clinical visit.

Lapse in Insurance Eligibility Verification can result in:

Delays with Patient Visit

Claim Denials and Rejections

Delayed Reimbursement

Why Verify Insurance Eligibility?

Benefits of Outsourcing Insurance Eligibility Verification

Studies indicate that claims worth millions are denied every year due to expired eligibility, or because the treatment service was not covered by a particular insurance plan. Verifying the eligibility of the patient allows the billing staff to analyze insurance coverage for clean claims and avoid re-submissions or rejection. 

Benefits of Outsourcing Insurance Eligibility Verification

Studies indicate that claims worth millions are denied every year due to expired eligibility, or because the treatment service was not covered by a particular insurance plan. Verifying the eligibility of the patient allows the billing staff to analyze insurance coverage for clean claims and avoid re-submissions or rejection. 

Benefits of Outsourcing Insurance Eligibility Verification

Studies indicate that claims worth millions are denied every year due to expired eligibility, or because the treatment service was not covered by a particular insurance plan. Verifying the eligibility of the patient allows the billing staff to analyze insurance coverage for clean claims and avoid re-submissions or rejection. 

Why ScribeEMR

Streamline Insurance Processors & Reimbursements

ScribeEMR provides highly qualified staff to research relevant information regarding the insurance coverage of a patient. Insurance eligibility verification is done well in advance of the clinical visit. Eligibility is double-checked with the insurance provider, and discrepancies, if any, are conveyed to the patient and clinical team.

Streamline Insurance Processors & Reimbursements

ScribeEMR provides highly qualified staff to research relevant information regarding the insurance coverage of a patient. Insurance eligibility verification is done well in advance of the clinical visit. Eligibility is double-checked with the insurance provider, and discrepancies, if any, are conveyed to the patient and clinical team.

Streamline Insurance Processors & Reimbursements

ScribeEMR provides highly qualified staff to research relevant information regarding the insurance coverage of a patient. Insurance eligibility verification is done well in advance of the clinical visit. Eligibility is double-checked with the insurance provider, and discrepancies, if any, are conveyed to the patient and clinical team.

Improved A/R Cycle

With robust eligibility verification process offered by ScribeEMR, patient flow is streamlined and A/R is optimized.

Automated Eligibility Verification

Our professionals are able to assess automated eligibility verification using advanced RPA tools, thus streamlining processes.

Improved A/R Cycle

With robust eligibility verification process offered by ScribeEMR, patient flow is streamlined and A/R is optimized.

Automated Eligibility Verification

Our professionals are able to assess automated eligibility verification using advanced RPA tools, thus streamlining processes.

Least Rejection/Denial Rate

Well-trained experts gather every useful information by paying attention to the details, ensuring extraordinarily low rate of insurance denials

Establish Trusted Contact

Expert professionals of ScribeEMR work closely with patients and the insurance providers via the optimum channels to secure updated insurance information and obtain pre-authorization.

Least Rejection/Denial Rate

Well-trained experts gather every useful information by paying attention to the details, ensuring extraordinarily low rate of insurance denials

Establish Trusted Contact

Expert professionals of ScribeEMR work closely with patients and the insurance providers via the optimum channels to secure updated insurance information and obtain pre-authorization.

Efficient Workflow

Insurance eligibility verification is accomplished well before the clinical visit by obtaining information via patient scheduling systems, insurance web portals and telephonic discussion.

Maintain Comprehensive Records

Records of primary & secondary coverage are maintained, including member ID, group ID, coverage period, co-pay, deductible and co-insurance information, and benefit information

Efficient Workflow

Insurance eligibility verification is accomplished well before the clinical visit by obtaining information via patient scheduling systems, insurance web portals and telephonic discussion.

Maintain Comprehensive Records

Records of primary & secondary coverage are maintained, including member ID, group ID, coverage period, co-pay, deductible and co-insurance information, and benefit information

Utmost Adherence to Confidentiality

We respect and maintain the sanctity of patient-provider confidentiality. No information is ever given out to any third party without a patient’s written consent.

HIPAA Compliant

We comply with all HIPAA rules. Personal portable electronic devices are prohibited inside the working area that has limited access to the Internet. All coordinators attend HIPAA training through our Learning Management System.

Utmost Adherence to Confidentiality

We respect and maintain the sanctity of patient-provider confidentiality. No information is ever given out to any third party without a patient’s written consent.

HIPAA Compliant

We comply with all HIPAA rules. Personal portable electronic devices are prohibited inside the working area that has limited access to the Internet. All coordinators attend HIPAA training through our Learning Management System.

Resources For You

Resources For You

CLIENT TESTIMONIALS

“I am amazed at how quickly the providers are now closing charts. I will report that last week, our providers were able to successfully lock 99% of their encounters in a timely fashion, most definitely a first for our organization and is directly related to ScribeEMR’s ability to assist our once struggling providers.”

John Sivon – Interim CFO
Langley Health

“I am very satisfied with ScribeEMR & the services they have offered me. As someone who has been involved in patient care for many years, I know the challenges of clinical documentation. With ScribeEMR, I do not need to worry about spending any time looking through a patient’s chart but can give my sole attention on that person, where it truly belongs. My scribe is very good at capturing all my clinical encounters in an appropriate fashion as well as doing other non-clinical tasks so that I am able to spend more quality time with my family.”

Harold Cates Jr. MD, Orthopedic Surgeon
Tennessee Orthopaedic Clinics