Physicians need to verify each patient’s eligibility and benefits to ensure they will receive payment for services rendered. Outsource Strategies International (OSI) 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.

Our health insurance eligibility verification specialists will confirm the following patient benefits on each date of service:

Demographic data – if the information on the insurance identity card is up to date and correct for that date of service

if the information on the insurance identity card is up to date and correct for that date of service Coverage – whether the patient has valid coverage on the date of service

whether the patient has valid coverage on the date of service Benefit options – patient responsibility for copays and coinsurance

patient responsibility for copays and coinsurance Prior authorization requirements – confirming authorization for treatment from appropriate sources, if applicable

OSI has extensive experience in working with government insurance as well as commercial insurance companies such as Blue Cross Blue Shield, United Healthcare, AETNA, and GHI. We provide customized patient eligibility verification services for all medical specialties and practices of all sizes.

Our medical eligibility verification services will:

Eliminate the need for tedious in-house verification processes

Free up your staff for other tasks

Minimize bad debt

Increase cash collection

Reduce billing errors and denials

Improve patient satisfaction

Save 30-40% on your operational costs

Call 1-800-670-2809 and Ask for our Free Trial Offer!

Insurance Eligibility Verification Benefit from a Streamlined Processes

Our comprehensive medical insurance eligibility verification process involves the following steps:

Receiving patient schedules from the hospital or clinic

Demographic information entry or update

Verifying coverage on all primary and secondary payers

Confirming authorization for treatment from appropriate sources, if applicable

Updating the billing system with the verified details

We verify patients’ insurance eligibility by checking the carrier website or calling up the company. As the success or failure of each patient claim starts at the front desk, we confirm the following before the appointment:

Spelling of the patient’s name

Date of birth

Address

SS number

Insurance carrier name

ID number

Group number

Type of plan and coverage details

Patient policy status and effective date

Plan exclusions

Payable benefits

Co-pays, co-insurance and deductibles

Referrals and pre-authorizations

Claims mailing address

Life-time maximum

Address for claims submission

In-network or out-of-network status

Type of Medicare coverage

DME coverage

Our end-to-end medical eligibility verification services improve patient collections and prevent accounts from aging and becoming uncollectable.

Why OSI?

Eligibility and benefits verification performed in batch and real-time

Stringent QA checks

Readily available reports

Customized TAT

HIPAA compliance

No long-term yearly contracts

No set up fees or training fees

To learn more about how our patient eligibility verification services, dial 1-800-670-2809 and speak to our senior solutions manager.