Eligibility
Verification

Reduce billing errors and claim denials, improve
patient experience, and optimize collections
  • RCM Services
WE GIVE THE BEST SERVICES

Reduce Coverage Errors and Rejections

Eligibility and insurance verification are critical to guarantee accurate and timely receipt of insurance coverage information. If required checks and balances are not in place, a healthcare organization could be wasting money. Due to ineffective eligibility and benefits verification and/or prior authorization processes, late payments and rejections can occur, leading in decreased collections and revenues.

Determining the patient’s eligibility quickly and accurately on the front-end gives’ healthcare providers a clear picture of the patient’s coverage, out-of-network benefits, and payment obligation/responsibility. AnnexMed has extensive experience in working with both government insurance and commercial insurance companies such as BCBS, UHC, Aetna, and GHI. We provide customized eligibility verification services for all medical specialties and practices of all sizes. Our Eligibility verification processes assist healthcare providers in submitting error-free claims, increasing upfront collections, and improving patient satisfaction.

Eligibility Verification capabilities include:

Real time
Eligibility Results

Exceptional
work flow

Customized
Dental Benefits

Telemedicine Eligibility
Check

Service Highlights
  • Workflow via scheduling system, emails, etc
  • Verifying coverage on all payer types
  • Efficient use of communication channels
  • Resolving any missing or invalid data
  • Determination of Authorization requirements
  • Prepare and submit documentation to Payer
Benefits
  • Cash flow optimization
  • Reduce operational costs by 45%
  • Team of Experts/Professionals
  • Increased Self-Pay Revenue
  • Decreased claim rejections and Bad debt
  • Improved patient satisfaction

Achieve Measurable, Proven Results

Costs Reduced

upto

45%
Reduced operational costs
DNFB Reduced

upto

32%

Reduction in DNFB accounts

Improve Productivity

upto

72%
Productivity improvement
Reduction in AR

upto

36%

Reduction in aged A/R
Improved Collections

upto

98%

Achieve net collections
Reduce Denials

upto

72%

Decrease in denial rate

17 +
Years of Experience
40 +
Specialties Served
value customers users viewer
99.1 %
Client Retention

Ready to talk?

Learn how we transform the revenue cycle with solutions that streamline the patient experience and improve financial performance.

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