Insurance Eligibility Verification
Confirm insurance coverage in real timeVerify eligibility
Access to up-to-date eligibility and benefits data to increase clean claims rates and accelerate reimbursement.
Eligibility responses are viewed in a concise and consistent format that improves efficiency and allows notification when edits or follow up are required.
Capitalize on additional reimbursement opportunities by electronically matching self-pay patients against Medicaid and managed Medicaid databases.
Validate the accuracy of patient registration information and coverage before claim submission, and even patient arrival.
Accurately calculate patient’s financial responsibility before the time of service.
Reduce staff time and training with automated eligibility checks and handle a higher volume of patient visits with ease.
Steinberg Diagnostic Imaging Center uses Experian Health’s eligibility products to validate patient coverage in under 30 seconds.
Experian Health’s eligibility solutions have connectivity with over 890 payers and modify payer eligibility responses to show registrars consistent patient information, regardless of payer.
Simplify insurance verification with search optimization functionality, allowing you to execute multiple searches to ensure the highest likelihood of finding a patient match. Leverage data enrichment intelligence from additional data sources, such as payer websites, to create user-friendly and detailed responses.
Proactively address COB instances with CAQH COB Smart ™, reducing errors.
The importance of eligibility verification throughout the patient access process.
Among the most common reasons for denials are missing or incorrect billing information, non-covered charges for care, and absent authorizations. Thankfully, these are all issues that can be minimized with the right strategies and tools.
To safeguard its revenue, Schneck Medical Center in Indiana, the only hospital serving four counties, wanted a way to optimize claims follow-up by identifying and targeting the claims needing attention as quickly as possible.
It’s no secret that claim denials cost healthcare organizations. They take about 16 more days to pay out than claims that have not been denied. On average, this delay in payment equates to one percent of a healthcare organization’s cost structure.