Our Services

Eligibility & Benefits

In the complex ecosystem of healthcare, verifying eligibility and obtaining prior authorization are pivotal components of the revenue cycle that cannot be overstated. These critical steps serve as the foundation upon which the entire financial health of healthcare providers relies.

Foremost verifying a patient's eligibility ensures that healthcare providers are not left grappling with uncertainty when it comes to a patient's coverage details. Accurate knowledge of a patient's insurance status, including member ID, group ID, coverage period, co-pay, deductible, and co-insurance, allows providers to make informed decisions right from the outset of a patient's care journey.

img
img
OUR Services

Eligibility & Benefits

Patient Schedule Integration : We seamlessly collect patient schedules from various sources, including provider offices, EDI, fax, emails, and FTP files.

Precise Verification :Our dedicated team meticulously verifies primary and secondary coverage details, leaving no room for errors or inaccuracies.

Efficient Payer Connections :We establish swift and efficient connections with insurance payers, utilizing both phone and web channels to retrieve crucial data promptly.

Data Integrity Maintenance : We proactively identify and rectify any missing or invalid data to ensure the integrity and accuracy of your records.

RPA Integration for Enhanced Efficiency : We bolster our eligibility verification processes with our proprietary RPA tools, guaranteeing unmatched efficiency and precision.

img
Our Process

Eligibility & Benefits

Patient Information Collection : we start by collecting accurate patient information, ensuring a solid foundation for eligibility verification.

Verification of Coverage : Our meticulous approach covers primary and secondary payers, examining all details for precision, including member IDs, group IDs, and more.

Prior Authorization : Our efficient process handles treatment approvals swiftly, managing paperwork and submissions to minimize care delays.

Payer Communication : We establish effective channels with payers through phone and web platforms for prompt responses and issue resolution.

Data Verification and Resolution : Our tech-driven approach swiftly identifies and resolves data issues, maintaining accuracy and reducing errors.

Billing System Updates : We seamlessly integrate with your practice management system, updating it with approvals and current patient data for efficient billing and claims processing.

Claim Denial Appeals : In rare claim denial cases, rely on Global Healthcare's expertise for appeals and revenue recovery.

Reasons to choose us

Eligibility & Benefits

Expertise and Experience : Decades of healthcare industry experience. A dedicated team of eligibility and verification experts.

Cutting-Edge Technology : Advanced technology, including proprietary RPA tools. Improved accuracy and efficiency through innovation.

Comprehensive Service : End-to-end eligibility and benefits verification. All-in-one provider for streamlined processes.

Cost Savings : Significant savings by reducing claim denials and optimizing cash flow. Real-world success stories demonstrating improved financial outcomes.

Enhanced Patient Satisfaction : Smoother billing for a better patient experience. Fewer billing issues and happier patients.

Tailored Solutions : Customized services to meet each provider's unique needs. Flexibility to accommodate specific requirements.

Compliance and Security : Strict adherence to healthcare regulations. Robust security for patient data protection.

img