Patient
Eligibility Verification

Insurance Eligibility Verification Services and Prior Authorization 

Save time verifying a patient's eligibility prior to a medical service. 

Verifying patient medical insurance eligibility is vital to a high-functioning revenue cycle but often presents challenges for busy organizations. With an experienced insurance eligibility verification and prior authorization services partner, you can simplify and automate verification tasks, improve accuracy, and ensure a smooth reimbursement cycle.

Let Global Healthcare Resource handle the time-consuming job of collecting information on a patient's eligibility prior to a medical service. With our team taking care of your research, we can quickly collect dates of coverage and copay/deductible information. Having the most up-to-date patient benefits information will save valuable time and money for everyone. 

Patient Eligibility Information We Will Verify

Our skilled eligibility verification team carries out stringent insurance verification and prior authorization checks as part of your medical billing process. Patient eligibility verification typically takes place at least a day or two before the patient's appointment date and encompasses critical information such as:

• Plan type and policy number 
• Dates of insurance coverage 
• Copays and coinsurance
• Deductible amounts 
• Other vital benefits information 

Medical Billing Insurance Eligibility Verification With Global

Working with a professional healthcare insurance verification partner introduces your organization to a committed team trained to improve patient eligibility verification accuracy and efficiency. When you partner with Global Healthcare Resource, your business has access to world-class services delivering the following unmatched benefits:

• Educated team: Each of our 6,000-plus HIPAA-compliant professionals undergo advanced healthcare RCM training through our Global Academy, giving you highly knowledgeable insurance verification team members.
• Protected information: Global Healthcare Resource is SOC 2 Type 2 compliant, meaning you can always trust us to keep your data secure. 
• Tailored solutions: We understand that every organization has specific and varied needs, so we customize our services to meet your unique insurance eligibility verification requirements.
• Experienced service: With over 25 years of experience providing premium healthcare RCM solutions, Global Healthcare Resource is a leading medical billing insurance verification provider.

Benefit Verification in Medical Billing

The benefit verification process involves confirming patient insurance information, such as what their insurance covers and whether they are liable for copayments on specific treatments or tests. Other vital information to check includes:

• Confirming the insurance plan is active and understanding any benefit limitations
• Determining whether the patient has multiple plans for different purposes
• Double-checking that insurance approves procedures, tests, and consultations before the appointment

Verifying this information prior to the patient's appointment improves claim submission accuracy and success. When you have the correct eligibility information, you will experience lower claim rejections and denial rates. More of your claims will be paid on time, improving your cash flow.

Medical Prior Authorization 

Obtaining prior authorization for medical tests and procedures is time-consuming and monotonous work. Our skilled team members are trained to manage patient prior authorization requests and will complete the following:

• Analyze and assess payer/policy coverage details.
• Determine prior authorization requirements for every patient/request.
• Complete required forms and paperwork followed by submitting to payer(s) within required timeframe.
• Consistent follow-up on prior authorization requests from our trained professionals.
• Inform providers of any issues within the prior authorization process.
• Work to remedy any issues. 
  

With insurance plan approval before submitting your claim, your organization has a better chance of receiving the required reimbursement quickly and reducing denials. 

Get Global's Professional Insurance Verification Services

Eliminate the hassle of recruiting, hiring, and training RCM staff for a high turnover position. When you partner with Global Healthcare Resource, our trained professionals will operate as an extension of your team to perform insurance eligibility verification and prior authorization, ensuring you always have the staff in place to complete the work accurately and on time.

Speak to us about your insurance verification needs today.