Schedule a Consultation
< 30
Days in AR
10-15%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
Health Insurance Eligibility
Verification Services We Offer
In the world of medical billing, prevention is better than rejection. Insurance eligibility verification services are essential for avoiding claim denials. The process allows you to explore plan benefits and improves your clean claim rates. A meticulous eligibility confirmation process confirms the status of a patient's insurance plan, identifies medical coverage, and clarifies the patient's financial responsibility.
Mindlox efficiently handles this time-consuming task! Our dedicated insurance validation team carries out multiple verification and authorization checks in advance – several days before the patient's appointment date. We save you valuable time and money by collecting the most up-to-date information about your patients' benefits.
Advanced Eligibility Checks
We perform comprehensive checks via a combination of human expertise and advanced tools. Our team confirms everything about a patient's insurance coverage, including benefits and limitations, before services are provided, to help you avoid underpayments or claim denials.
Multiple Payer Identification
If a patient has multiple insurance plans by different payers, we verify the correct payment order between primary and secondary payers by reviewing the Coordination of Benefits (COB). This helps you avoid billing confusion and payment delays when sending claims to the concerned payer.
Timely Eligibility Audits
Our meticulous auditing process ensures that a patient's insurance eligibility and benefits are correctly verified before you proceed with their treatment. Our team cross-checks information on the admission forms, patients' medical records, and insurance plans to identify inconsistencies.
Scalable Solutions & Reporting
At Mindlox, we prioritize flexibility. Our team uses the latest technology and gold-standard verification methods to adapt to your changing workflows or requirements. Moreover, we provide real-time insights into your verification trends via customized reporting
Our Insurance Eligibility Verification Process
Secure timely payments for every claim with our streamlined insurance eligibility verification workflow! Our proactive 6-step patient verification process includes everything, from gathering patient information to accurate documentation and obtaining prior authorization. Here is how we bring it all together.
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1. Gather Patient Information
We start our insurance eligibility verification process by collecting relevant patient information, including demographic details, insurance ID, payer details, and policy number. This step gives us all the information we need to accurately verify the patient's insurance eligibility.
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2. Verify Plan Coverage
Next, our experts visit the concerned insurance companies' websites or portals to validate patient details. We also contact insurance payers to confirm that the patient information, such as plan type, policy number, copays, deductibles, network participation, and coverage exclusions, is up to date.
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3. Evaluate Coordination of Benefits
Some patients have multiple insurance plans for different purposes. Therefore, we evaluate the Coordination of Benefits (COB) between primary and secondary payers to determine payment responsibilities and avoid billing errors. This step clarifies payment order and coverage limitations.
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4. Obtain Prior Authorization
Next, we identify services or treatments that require prior authorization. In cases where a pre-authorization is necessary, we fast-track the process to secure written approvals from the insurance payer, minimizing the risk of treatment delays and possible claim denials.
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5. Update the Database
After confirming everything with the patient and payer, we update all the information, such as plan benefits, exclusions, and limitations, in your database or practice management software. This step helps us maintain accurate patient records and simplifies the claim submission process.
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6. Document Everything
The last step of our medical insurance eligibility verification workflow involves precise and complete documentation. We document all the verified patient information to ensure clean claim submission. Our team also creates detailed reports for future reference, board reviews, audits, or follow-ups.
Benefits of Outsourcing Insurance Verification to Mindlox
Start strong to end strong! Insurance eligibility verification is the first step of an efficient billing process. Unfortunately, it is quite time-consuming and monotonous, often pulling your staff away from more critical tasks. A high volume of information, inconsistent data, heavy workload, and lack of time and resources lead many practices to make mistakes during health insurance eligibility verification, which results in payment denials.
Why spend days verifying a patient's insurance coverage when we can do it faster and better? At Mindlox, we set the foundation for a successful billing process. Our insurance eligibility verification experts identify issues at the start so you can avoid billing delays and patient dissatisfaction.
Struggling with insurance complexities? Let us verify everything! At Mindlox, we have a separate team for coverage verification. Moreover, we regularly train our specialists so they can manage even the most complicated insurance eligibility verification cases.
Faster verification for faster payments! Outsource your insurance validation process to Mindlox to benefit from our quick turnaround time. Our strategic approach and proactive follow-ups lead to quicker approvals and faster reimbursement cycles.
We improve your overall productivity. Our insurance verification team manages everything, from collecting relevant information and verifying insurance details to updating your database so you can give more time to your patients.
Reduce overhead costs and improve accuracy! Choose Mindlox to avoid spending on training, staffing, and technology. Our dedicated team handles insurance verification more efficiently, reducing costly errors and helping you save money.
We Are Available Nationwide
Enjoy faster verification across the nation! Our insurance eligibility verification services are now available in all 50 states. So, wherever your practice might be, don't hesitate to contact our expert team to unburden your administrative staff. Let us help you with coverage checks and quicker approvals so your patients don't have to wait for their right to access quality healthcare.
Estimate Savings with Outsourced Billing!