Global Healthcare Resource

Patient
Eligibility

We'll quickly check with carriers on the status of patient benefits.

Insurance Eligibility Verification Services 

Save time verifying a patient's eligibility prior to a medical service. 


Verifying patient insurance eligibility is vital to a high-functioning revenue cycle but often presents challenges for busy organizations. With an experienced insurance eligibility verification services partner, you 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 information on a patient's eligibility prior to a medical service. With our team taking care of your research, we can quickly collect dates of coverage and copay/deductible information. Having the most up-to-date patient benefits information will save valuable time and money for everyone. 

Eligibility Information We Will Verify

Our skilled eligibility verification team carries out stringent insurance verification and prior authorization checks as part of your medical billing process. Eligibility verification typically takes place at least a day or two before the patient's appointment date and encompasses critical information such as:

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

Medical Billing Insurance Verification With Global

Working with a professional healthcare insurance verification partner introduces your organization to a committed team trained to improve verification accuracy and efficiency. When you partner with Global Healthcare Resource, your business has access to world-class services delivering the following unmatched benefits:

  • Educated team: Each of our 6,000-plus HIPAA-compliant professionals undergo advanced healthcare RCM training through our Global Academy, giving you highly knowledgeable insurance verification team members.
  • Protected information: 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 insurance eligibility verification requirements.
  • Experienced service: With over 25 years of experience providing premium healthcare RCM solutions, Global Healthcare Resource is a leading medical billing insurance verification provider.

Benefit Verification in Medical Billing

The benefit verification process involves confirming patient insurance information, such as what their insurance covers and whether they are liable for copayments on specific treatments or tests. Other vital information to check includes:

  • Confirming the insurance plan is active and understanding any benefit limitations
  • Determining whether the patient has multiple plans for different purposes
  • Double-checking that insurance approves procedures, testsand consultations before the appointment

Verifying this information prior to the patient's appointment improves claim submission accuracy and success. When you have the correct eligibility information, you will experience lower claim rejections and denial rates. More of your claims will be paid on time, improving your cash flow.

Medical Prior Authorization Companies

Obtaining pre-authorization for medical tests and procedures demands exceptional planning and organizational skills. Our skilled team members are trained to manage your patients' pre-authorization processes, ensuring their insurance deems their procedures and tests medically necessary prior to their appointments. 

With insurance plan approval before submitting your claim, your organization has a better chance of receiving the required reimbursement quickly, reducing the number of denials received.

Get Global's Professional Insurance Verification Services

Eliminate the hassle of recruiting, hiring, and training RCM staff for a high turnover position. When you partner with Global Healthcare Resource, our trained professionals will 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.

The integrity of your data is our #1 priority.

SOC 2 Type 2 Compliant.

SOC 2 Type 2 audits determine how well an organization safeguards customer data and how those controls operate over a 9-month (minimum) time frame. Reports are issued by third party auditors who review the following principles: Security, Confidentiality & Availability. Global Healthcare Resource is proudly SOC 2 Type 2 compliant. 

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SECURITY 

The security principle addresses whether an organization's system is protected (both physically and logically) against unauthorized access.

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AVAILABILITY 

The availability principle addresses whether the services an organization provides is operating with the type of availability that client's expect.

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CONFIDENTIALITY 

The confidentiality principle addresses the agreements made with clients in regard to how their information is used, who has access to it and how it's protected.

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