At Inouora Healthcare, we understand that comprehensive eligibility and benefits verification processes are critical for providers to provide prompt, accurate, and thorough information about a patient’s insurance coverage. Our Eligibility and Benefits Verification Services assist healthcare providers in making informed decisions about the nature of care given, medications prescribed, and further diagnostics, particularly in elective and non-emergency procedures, based on the patient’s eligibility.

Eligibility And Benefits Verification Services

Our Eligibility and Benefits Verification Services offer the following benefits to our clients:

• Flexible channel for receiving workflows through various patient scheduling systems – EDI, Fax, emails, and FTP files.
• Flexible channel for receiving workflows through various patient scheduling systems – EDI, Fax, emails, and FTP files.
• Efficient connection with the payer using the best possible channels.
• Prompt identification and resolution of missing or invalid data.
• Verify patient demographic and policy information, including benefits, deductibles, plan inclusions, and exclusions.
• Obtain a pre-certification number and get approval for benefits verification.
• Verify the patients’ coverage, co-pays, co-insurance, deductibles, and claims mailing addresses on all primary and secondary payers and update the revenue cycle management system.
• Flexible channel for receiving workflows through various patient scheduling systems – EDI, Fax, emails, and FTP files
• Fast and accurate verification of primary and secondary coverage details, including member ID, group ID, coverage period, co-pay, deductible, and co-insurance and benefits information
• Efficient connection with the payer using the best possible channels
• Prompt identification and resolution of missing or invalid data
• Verify patient demographic and policy information, including benefits, deductibles, plan inclusions, and exclusions.
• Obtain a pre-certification number and get approval for benefits verification.
• Verify the patients’ coverage, co-pays, co-insurance, deductibles, and claims mailing addresses on all primary and secondary payers and update the revenue cycle management system.

Inouora Healthcare’s Value Proposition For Eligibility Verification Services

Our Eligibility Verification Services provide the following benefits to our clients:

• Optimal revenue and cash flow.
• Reduced patient information-related denials.
• Cost savings from global delivery.
• Assurance of accurate and complete data.
• Fewer rejections for information issues.
• Upfront clarification of the patient’s responsibility.
• Improved patient satisfaction.
• Improved quality.