Patient insurance eligibility verification is the first and perhaps most critical step in the billing process. That means your service provider has to be on the ball to obtain and accurately record all eligibility information. Physicians need to verify each patient’s eligibility and benefits to ensure they will receive payment for services rendered.
RevEx offers comprehensive patient eligibility verification services to help healthcare providers confirm check coverage prior to the office visit. Our focus is on preventing denials and avoiding delays in payment, which will boost revenue at time of service, save time on the back end, and also enhance patient satisfaction.
We deploy the people, technology and apply our experience to ensure accurate determination of insurance eligibility.
Receive Patient Schedules from the healthcare provider.
Verify coverage on all primary and if applicable secondary payers by utilizing payer websites, and IVR systems.
As required, we make calls to payers to check the eligibility status and patients for additional information.
Update the results on the practice management system – update member ID, group ID, coverage start and dates, copay information and much more.
We also provide additional services such as reminding the patient of the POS collection required, obtaining referrals from Primary Care Physicians (PCPs)