- RCM Services
Reduce Coverage Errors and Rejections
Eligibility and Benefit Verification services play a pivotal role in ensuring the accurate and timely processing of insurance coverage information within healthcare organizations. The absence of robust checks and balances in this realm risks significant financial inefficiencies. Ineffective verification processes or lapses in prior authorizations can precipitate late payments and rejections, causing a marked decline in collections and overall revenues.
The swift and precise determination of patient eligibility at the outset offers healthcare providers a panoramic view of coverage details, encompassing out-of-network benefits and payment obligations. AnnexMed stands tall with extensive experience collaborating with a spectrum of government and commercial insurance entities, including BCBS, UHC, Aetna, and GHI. Our specialized Eligibility and Benefits Verification services are meticulously tailored to address the unique needs of various medical specialties and practices, irrespective of their size or scope.
Our commitment to precise Eligibility and Benefits Verification services serves as a catalyst for healthcare providers, aiding in the submission of flawless claims, amplifying upfront collections, and fostering elevated levels of patient satisfaction. AnnexMed’s unwavering focus on these critical services not only ensures streamlined operations but also significantly diminishes claim errors, maximizing the revenue potential for healthcare organizations. With AnnexMed as your RCM partner, your Eligibility and Benefits Verification needs will be seamlessly addressed to foster a more positive patient experience.
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
DNFB Reduced
upto
Reduction in DNFB accounts
Improve Productivity
upto
Reduction in AR
upto
36%
Improved Collections
upto
98%
Reduce Denials
upto
Decrease in denial rate
Ready to talk?
Learn how we transform the revenue cycle with solutions that streamline the patient experience and improve financial performance.