ISO 27001 : 2015 Certified Company

Services

Eligibility Verification


Pre Insurance Eligibility Verification


A vital part of the medical billing process is the scrutiny and verification of the patient's eligibility and benefits before scheduling the patient appointment.

We call the payers regarding any payment responsibility the patient needs to fulfil prior or post the treatment. Our teams of expert Tele-callers carry out this verification process within 24hrs.


The details that the Canada Usa Pharmacy team verifies include:


Effective date and coverage details


Type of plan

Payable benefits

Co-pay

Deductibles

Co-insurance

Claims mailing address

Referrals & pre-authorizations

Pre-existing clause

Lifetime maximum

Other related information

This information is collected and verified before the patient appointment date as it helps in getting referrals, prior authorization numbers, and optimizing the billing process, as well as preventing denials due to invalid benefits and eligibility reasons.

Once the verification process is completed and the patient visits the health care provider, treatment plans are generated.