Patient
Eligibility Verification

Insurance Eligibility Verification Services and Prior Authorization 

Pre-service eligibility verification and prior authorization to save time and reduce denials.  

Eligibility verification and prior authorization are vital to a high-functioning revenue cycle; however, these tasks are often time consuming and ripe for errors. Fortunately, experienced medical prior authorization companies can simplify and automate verification tasks, improve accuracy, and ensure a smooth reimbursement cycle.

Let Global Healthcare Resource handle the time-consuming job of collecting critical information on patient eligibility prior to rendering any medical services. Our medical billing insurance verification team quickly collects dates of coverage and copay/deductible amounts so you have the most up-to-date and accurate patient benefit information at the point of care. 

Insurance Eligibility Verification Services

Our skilled eligibility verification and prior authorization team performs comprehensive benefit checks that yield the following information:

• Copays and coinsurance
• Dates of insurance coverage 
• Deductible amounts 
• Other vital benefit information 
• Plan type and policy number 

Medical Billing Insurance Eligibility Verification 

Global Healthcare Resource stands out among other medical prior authorization companies because of our customer service-oriented approach. We provide your organization with access to an eligibility verification and prior authorization team committed to increasing your revenue cycle efficiency and overall profitability. When you partner with Global Healthcare Resource, you transform benefit verification in medical billing to meet and exceed best practice benchmarks. You also enjoy other benefits including:

• Industry expertise at your fingertips: Each of our 7,000-plus HIPAA-compliant professionals undergo advanced healthcare revenue cycle management training through our Global Academy, providing you with team members who are well-versed in eligibility verification and prior authorization services.
• Data security: Global Healthcare Resource is SOC 2 Type 2 compliant, meaning you can always trust us to keep your data secure. 
• Tailored solutions: We understand that every organization has specific and varied needs, so we customize our services to meet your unique medical billing insurance verification requirements.
• Best practice insights: With more than 25 years of experience providing premium healthcare revenue cycle management solutions, Global Healthcare Resource is a leading medical billing insurance verification provider able to share strategies to help clients succeed.

Benefit Verification in Medical Billing

Global Healthcare Resource’s insurance eligibility verification services include the following steps:

• Confirm the patient’s insurance plan is active, and if so, what it covers and whether any benefit limitations exist
• Determine whether the patient has coverage through multiple plans, and if so, which ones are applicable and primary versus secondary
• Verify whether the patient’s insurance plan approves procedures, tests, and consultations before the appointment
• Identify any copayments and/or deductibles for which the patient may be responsible

Verifying this vital information prior to the patient's appointment increases clean claims, prevents denials and rejections, and promotes smooth cashflow.

Medical Prior Authorization: The Global Healthcare Resource Difference

Our skilled eligibility verification and prior authorization team members are trained to:

• • Analyze and assess payer/policy coverage details
  • Determine prior authorization requirements for every patient/request
  • Complete required forms and paperwork and submit all documents to payer(s) within required timeframes
  • Follow up consistently on prior authorization requests  and resolve any challenges along the way

Global Healthcare Resource: The Best Choice for Eligibility Verification and Prior Authorization Services

When you partner with Global Healthcare Resource, our savvy professionals operate as an extension of your team to perform insurance eligibility verification and prior authorization, ensuring you always have the staff in place to complete the work accurately and on time.

Speak to us about your insurance verification needs today.