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Accurate and timely verification of patient eligibility is essential

At Mediveritas, Our Patient Eligibility Services provide the accuracy and efficiency needed to verify patient coverage quickly and effectively, ensuring a smoother revenue cycle and enhanced patient experience. Partner with us to optimize your eligibility verification processes and achieve better financial outcomes for your practice.

Insurance Consultation

Reduced Claim Denials

Accurate eligibility verification minimizes the risk of claim denials due to coverage issues, ensuring smoother reimbursement processes.

Doctor and Patient

Enhanced Patient Experience

Clear communication and upfront understanding of coverage improve patient satisfaction and reduce confusion over billing.

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Operational Efficiency

Streamlined eligibility verification processes free up administrative staff to focus on patient care and other critical tasks

Patient Eligibility Services

Ensuring accurate and timely verification of patient eligibility is essential for a smooth revenue cycle and efficient healthcare delivery. Our Patient Eligibility Services streamline this critical process, helping healthcare providers avoid claim denials and improve financial performance.

1. Real-Time Eligibility Verification
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  • Instant verification of patient insurance coverage through integrated systems.

  • Access to up-to-date information on benefits, co-pays, deductibles, and coverage limits.

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2. Pre-Authorization and Pre-Certification
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  • Assistance with obtaining necessary pre-authorizations and pre-certifications for specific procedures or treatments.

  • Proactive management to ensure compliance with payer requirements and avoid delays in care.

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3. Comprehensive Payer Coverage
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  • Verification across a wide range of payers, including commercial insurers, Medicare, Medicaid, and other government programs.

  • Continuous updates to payer requirements and guidelines to ensure accurate eligibility checks.

Female Patient
Doctor Diagnosis
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4. Patient Communication
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  • Clear communication with patients regarding their coverage and out-of-pocket responsibilities.

  • Assistance in explaining benefits, co-pays, and deductibles to enhance patient understanding and satisfaction.

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5. Reporting and Analytics
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  • Detailed reports on denial trends, recovery rates, and financial impact.

  • Actionable insights to improve processes and prevent recurring issues.

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Our Expertise

EHRs we work with

practicefusion
praxis
evident
kareo
meditech
nextgen
ecw
epic
cerner
allscript
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