The hospital/ facility is a hub for healthcare service where large number of patients seek medical services in various specialities at different time of the day. The facility may vary in size, specialities, services offered for treatments as per each individual organization, which can have a direct proportion to the staff and providers servicing at…
Insurance Benefit Verification in short (BV) is a process of verifying the patient’s active medical insurance coverage. The patient access team at the time of patient registration along with their other responsibilities such as appointment and scheduling, patient registration, collection and preparation of the EHR of patient/ insurance demographic details (face sheet), medical record preparation,…
As per federal government law the patient may not be refused healthcare services for emergency situations even if they do not have insurance coverage details. Patients register themselves as self-pay even when they do have an active healthcare insurance due to many factors such as When the patient is unaware of the plan coverage and…
The insurance discovery tool is a unique software created by combined expert Revenue Cycle Healthcare professionals along with state of art Artificial Intelligence. There are 15 algorithms used to discover the current accurate payer for the patient. This helps in extending retrieving capabilities to Medicare, Medicaid, Commercial and private payors. The software has the ability…
The Insurance Discovery software is a blend of knowledge from the medical billing industry veterans and state of art Artificial Intelligence technology. The combination spans about 15 algorithms that help in the search and retrieval of accurate insurance demographic for a particular Date Of Service. The tool has the ability to provide the effective date…
Insurance Discovery software from eClaimStatus is a unique creation of combining Artificial Intelligence along with human intelligence from years of end-to-end revenue cycle experts. The tool provides value add at multiple stages of the revenue cycle management process. Starting from the front office registration process until identifying existing insurances for the self-pay patients the tool…
The patient access team is crucial they are considered “Face of the Practice” as they are the first point of contact with patient before seeing the provider for healthcare services. Patient access team is responsible for following activities: Appointments and scheduling, Patient Registration Collecting patient demographic details Collecting insurance details Checking patient insurance eligibility and…
The healthcare environment is increasingly becoming more complex. Physician clinics and hospitals constantly need to validate patients' insurance coverage, validity, benefits, exclusions, co-payments, and more. Medical insurance verification is one of the most crucial steps in the medical billing and coding process. Many progressive organizations understand the criticality of the medical insurance verification process and…
Seamlessly managing verifications for a massive patient surge during the COVID-19 Pandemic. The COVID pandemic led to a massive, sudden upsurge in the number of patients visiting Texas-based ER. The practice was not prepared for handling the sudden change and fell short of the time and resources needed to verify patients' eligibility and benefits. Lack…
Patient Demographic is the information provided by the patient to the hospitals or medical centers. Physicians' clinics and hospitals must be extra vigilant in capturing the patient demographics. The vital information works as the core in the medical field, especially for health insurance claims. The patient demographics data comprises patient-specific information like Name, Age, Gender,…