Eligibility verification is one of the challenging tasks faced by healthcare facilities. This challenge has become even greater with changing insurance rules and guidelines, and the flood of newly insured patients and patients who are changing plans. To improve cash flow, physicians need to verify eligibility and benefit coverage before claim submission. Most of the provider’s clinic and hospitals are halted because of this time taking process which affects their pockets as well.
How DOCTALK SOLUTIONS RCM helps you?
Our experienced team can take care of all your
insurance patient eligibility verification and
authorization requirements. We provide
professional solutions to help you.
- Reduce denials
- Minimize delayed payments
- Improve patient care and satisfaction
- Enhance workflow
- Save time
Our team can provide accurate real-time data on
patient benefits before the visit. We are
experienced in serving major insurance companies
in the country including Blue Cross Blue Shield,
United Healthcare, AETNA, and GHI.
Comprehensive Eligibility Verification Process
More than just basic verifications, our services
are all inclusive and much more robust. We can
work with your software and login in via VPN.
We receive schedules from the hospital via EDI,
email or fax. Our team verifies all patient
benefits based on the reason for the office visit.
Instead of just relying on websites, Our health
insurance verification specialist, also called
insurance verifier, plays a big role in the health
insurance system. Our professionals work with
patients, complete paperwork, and verify patient
information with the insurance carrier to maximize
reimbursement and facilitate revenue cycle
improvement. We also update your billing system
with the information.
Our team verifies:
- Co-pays
- Co-insurances
- Claims mailing address
- Deductibles
- Patient policy status
- Effective date
- Payable benefits
- Plan exclusions
- Health insurance caps
- Type of plan and coverage details
- Referrals and pre-authorizations
- Out of network benefits
- DME reimbursement
- Life time maximum, and more
Why Doctalk Solutions RCM?
- All-inclusive, timely benefit verification services
- QA in all departments
- Reports provided on request
- HIPAA compliance
- 24X7 professional support
- Fast turnaround time
- Customized solutions
We are well equipped handle large volume tasks.
Our services can help you
save upto 35% to 50% on your operational
costs.
We provide you analyzing reports on real time bases.
Help’s you managing your patient schedules and appointments.
Timely effective follow-ups on submitted claim until it get paid.
