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Insurance Eligibility Verification

 

Steps

  • Verify Primary and Additional Payor information
  • Evaluate EOBs for coverage and benefits
  • Map eligibility to date of service
  • Document patient responsibility prior to encounter
  • Automation tools to monitor multiple insurance portals

 

At Finiti we ensure that healthcare providers can bill and receive payment from the correct insurance carrier, thus reducing claim denials and delays in payment.

 

Our process of eligibility verification typically involves gathering information such as the patient’s name, date of birth, insurance policy number, group number, and other relevant details. This information is then cross-checked with the insurance providers database to confirm the patient’s coverage, benefits, and any limitations or restrictions that may apply. We ensure that the verification process includes date of service for updated coverage information.

Effective insurance eligibility verification helps healthcare providers to accurately estimate patient financial responsibility, such as co-payments, deductibles, and co-insurance. This information is important for providers to communicate with patients upfront, ensuring transparency and avoiding unexpected bills or confusion.

 

Our verification department follows 4 crucial steps for smooth flow of revenue cycle.

  1. Verify patients’ insurance coverage and benefit
  2. Accurately estimate patient financial responsibility
  3. Reduce claim denials and payment delays
  4. Ensure transparency and avoid unexpected billing for patients.