Insurance Verification
Successful Billing Begins with Insurance Eligibility Verification
A simple error in the process can result in claim rejection or denial. Special attention must be paid that client-provided information is current and accurate and that the insurance policy in question is active and has not been modified.
By relying on the knowledgeable and experienced insurance verification specialists at Coast to Coast Medical Solutions, you will experience:
- Less time and hassle spent performing this task
- Faster approval and insurance authorization rates
- Simplified workflow
- Faster billing cycles
- Improved staff productivity
- Reduced operational costs
We understand the health insurance verification process is tedious and time-consuming. Let us do it for you, so you can focus on caring for your clients.
Our team will contact each patient's insurance company to verify coverage levels and will work with you, the health care provider, so that your team understands a patient’s insurance coverage before they arrive for treatment.
Most billing companies rely solely on information obtained online. At Coast to Coast Medical Solutions, we access information through online portals, as well as contact the insurance companies to get the necessary specific insurance information for each patient. Most policies have very different benefits between behavioral health and strictly medical services, as well as even more complex benefit structures for PPO plans. We know the questions to ask!
Some of what we verify:
- Type of insurance plan and coverage details
- Payable benefits
- Out-of-pocket costs (co-pays, deductibles, and co-insurance)
- Patient policy status
- Effective date
- Plan exclusions
- Health insurance caps
- Out-of-network benefits
We check procedure-specific coverage and benefits, and all out-of-pocket costs so that patients know what they have to pay from the beginning. We will also obtain all the specifics regarding required authorizations and referrals. This assists with the billing and collections process and, as a result, helps prevent insurance claim denials and payments from becoming uncollectible.
During our insurance verification process, we ask the right questions necessary for obtaining concise answers about available behavioral health benefits for your clients.
Coast to Coast Medical Solutions provides the following insurance verification services:
- Person-to-person live-call insurance verification for the highest level of accuracy
- Customized verification-of-benefit forms per facility requirements
- Quality control reviews of each verification
- Quick turnaround times; most are completed within an hour
Insurance verification is a necessary first step for any healthcare provider. Let us take the stress out it so you can focus on patient care. Call Coast to Coast Medical Solutions today at (561) 855-2728.
