VERIFICARE – Patient Eligibility Verification

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Insurance Eligibility Verification is one of the most important steps in the Revenue Cycle Management process. Industry data confirms that most of the claims are denied or delayed due to inadequate or incorrect coverage information. Verificare is a tool that enables effective Patient Insurance Eligibility Verification through a set of robust workflows and makes the whole process more efficient.

  • Frequent policy changes and updates by health plans
  • Access to all details pertaining to a patient’s eligibility
  • Delays and denials
  • Costly rework

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  • Validate patient details using well defined templates – insurance details, expiry, coverage/benefits
  • Bulk patient data uploads and processing
  • Verification reports – single and multiple patients
  • Work reports - pending and completed validations
  • Scheduling physician appointments

  • Faster and more accurate Insurance Eligibility Verifications
  • Improved payments
  • Shorter payment cycles and lower denials
  • Better revenue forecasting

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