Medical Insurance Verification

Highlights

• ✔️Medical Insurance Verification Checks Eligibility and Benefits Get instant verification of patient’s eligibility and benefits in real time directly within Salesforce. You get complete clarity on active coverage, copays, coinsurance, and benefits.
• ✔️Verify Patient Eligibility Across 1,100+ Payers Including Medicare and Medicaid   • Supports over 1,100 commercial payers   • Includes Medicare and Medicaid   • No more portal hopping or phone calls   • Faster responses for front desk and billing staff
• ✔️Check Authorization and Referral Status in Salesforce Get instant verification of authorization or referrals required for the treatment of patients, so that the staff can move forward with confidence. This reduces claim denials and delivers faster care
• ✔️Confirm Policy Status and Patient Demographics   • Confirm the policy is active   • Verify the demographics info for patients   • Review the benefit limits   • Identify exclusions based on coverage   • Enhanced process for insurance policy validation
• ✔️Verify Coverage for 187+ Procedures to Prevent Billing Issues You can verify coverage for over 187 different procedures. Identify coverage gaps early to prevent billing issues and reduce write-offs.
• ✔️Keep Eligibility and Benefits Verification HIPAA-Compliant   • We protect data from start to finish   • All data is stored and transmitted securely   • All activities are logged   • The cloud environment follows HIPAA rules
• ✔️Update Eligibility and Benefits Records Automatically in Salesforce   • Maintains accuracy of the records   • No manual follow ups required   • Supports your insurance workflows   • One source of information for billing and care decisions
• ✔️Run Eligibility and Benefits Verification in Health Cloud and Service Cloud   • Works with Health Cloud and Service Cloud   • Utilizes Salesforce APIs   • Integrates with external tools   • Embeds verification into your operations
• ✔️Reduce Claim Denials by Verifying Patient Eligibility at Intake By verifying patient eligibility and benefits at the onset of treatment, you reduce claim denials & increase reimbursement velocity.