Emergency Room | Urgent Care Benefit Verifications

Even though patient satisfaction is not directly tied to your hospital’s reimbursements, studies show that more than three-fourths of all unscheduled admissions—a major source of hospital revenue— comes through Emergency Department/Urgent Care. A patient’s perspective of the Emergency Department and their inpatient experience has a direct impact on your HCAPHS scores. That means high patient satisfaction scores are not just vital to the reputation of your practice, but also to the well-being of your entire hospital, eClaimStatus help’s increase the reputation and boost the patient satisfaction of your practice. Contributing Factors to Poor Patient Satisfaction: The front office faces some unique challenges when it comes to improving patient satisfaction

• Long wait times to verify patient benefits
• Patient volume increases while resources to manage remain the same
• Limited communication with patients
• Failure to collect the correct patient portion
• Surprise Bill

If allowed to persist, these factors can multiply until the community holds a negative opinion of the practice, leading to loss of market share. Fortunately, these hurdles can be easily overcome by implementing eClaimStatus, with a wide payer network of 800 and fetching benefits in seconds, no longer wait time for patients or Surprise bills.

What information eClaimStatus fetches you?

• Coverage Active/Inactive Status
• Real-time deductible remaining
• Pre-Cert Requirement info
• Out of Pocket Stop Clause
• In/Out of Network benefits
• Co-insurance percentages
• Co-pay information
• PCP Information where applicable
• Other payer information, for example MCO’s or Medicare replacement plans
• Plan Info - PPO, HMO, etc.
• Claims mailing address
• IPA information
• Limitations and more