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 is vital to a high-functioning revenue cycle — however, these tasks are often time-consuming and ripe for errors. Fortunately, experienced insurance eligibility verification 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 patient eligibility information before rendering any medical services. Our medical billing insurance verification team quickly collects dates of coverage and co-pay/deductible amounts so you have the most up-to-date and accurate patient benefit information at the point of care. 

Insurance Eligibility Verification Services

Global Healthcare Resource stands out among other medical billing verification companies because of our customer service-oriented approach. We provide your organization access to an eligibility verification team committed to increasing your revenue cycle efficiency and overall profitability. 

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

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

Medical Billing Insurance Eligibility Verification 

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 undergoes 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.

How We Verify Patient Eligibility

Properly verifying patient eligibility prior to an appointment can prevent claim denials and promote smooth cash flow. To ensure accuracy, Global Healthcare Resource’s insurance eligibility verification services include the following steps:

1. Confirm activity: We start by checking the status of a patient's insurance plan and ensuring it is active. If so, we confirm what it covers and whether benefit limitations exist.
2. Determine plan coverage: We will determine whether the patient has coverage through multiple plans. If this exists, we will verify which ones are applicable and identify primary versus secondary coverage.
3. Verify plan approvals: Before the appointment, our team will check whether the patient's insurance plan approves procedures, tests, and consultations. This verification will provide insight into possible treatment options under coverage.
4. Identify co-pays and/or deductibles: Finally, we identify any co-pays or deductibles the patient may be responsible for upon their appointment. This way, your team and the patient can be prepared for possible appointment costs.

Why Outsource Insurance Eligibility Verification Services From Global Healthcare Resource?

When you outsource insurance eligibility verification, your administrative team can lighten its workload. As a result, you can benefit from more accurate medical billing, lower operating costs, and more efficient processes.

At Global Healthcare Resource, we can provide:

• Skilled eligibility verification professionals: Global Healthcare Resource has a rigorous internal training program for our employees to stay current on the most advanced techniques in the industry. Our team members can analyze policy coverage details and determine requirements for every patient and request.
• Extensive experience: For over 25 years, we have pioneered HIPAA-compliant patient eligibility verification. We have worked with organizations in nearly every healthcare specialty throughout the United States, helping us stay on top of payer guidelines and other state requirements.
• Comprehensive service approach: Our insurance eligibility verification services follow a comprehensive approach, helping you from start to finish. We will complete the required forms and paperwork, submit all documents to payers within the required time frames, and consistently follow up on requests, resolving any challenges along the way.
• Security and confidentiality: At Global Healthcare Resource, we understand that healthcare details require security and confidentiality. We work to ensure your data is safe, practicing SOC 2 Type 2 compliance.

Global Healthcare Resource: The Best Choice for Patient Insurance Eligibility Verification

When you partner with Global Healthcare Resource, our savvy professionals operate as an extension of your team to perform insurance eligibility verification, 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.