Eligibility Verification and Pre-Authorization: Prevent Delayed or Denied Payments
GoBill’s health insurance preauthorization ensures real-time prior eligibility and authorization, speed-to-care, and improved revenue collection.
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Optimize Your Claims with Comprehensive Insurance Eligibility Verification and Pre-Authorization
Insurance verification and pre-authorization is the single most important step in speeding up claim submission, receiving faster reimbursements, and reducing the chances of denial in the medical billing process. This involves verifying that a patient is eligible for billed services at your practice and is authorized to receive these benefits under their insurance policy.
Reduce Denials Rate by 40%
Properly capturing and confirming patient information and insurance coverage before a patient’s scheduled appointment can save up to 40% on potentially lost profits due to denied or delayed payments.
GoBill’s proactive health insurance preauthorization approach informs patients of their payment responsibilities upfront, which improves their experience and increases treatment satisfaction rates.
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Patient Information Collection
Obtain demographic information from the patient or referral source and create an account for each patient.
Coverage and Authorization Verification
Check that benefits are covered by the patient’s primary or secondary care payers for the appointed date and time of care delivery. This includes insurance eligibility verification, plan exclusions, policy status, coverage period, patient specifics, type of plan, effective date, lifetime value, and other applicable data.
Data Confirmation
Promptly confirm the information received from the patient and payer, identifying and resolving any missing or invalid data before claim submission.
Benefit Authorization
Obtain health insurance preauthorization if required for the requested treatment.
Payment Determination
Determine patient payment deductibles, co-payments, co-insurance, payable benefits amounts, and payer payment responsibilities. Inform the patient of the required payments to be collected before or after they receive the treatment through online or cash payment.
Documents Submission
Prepare and submit all the required documentation to support the reimbursement of treatments and services delivered to the patient by direct phone contact with your staff or our virtual patient engagement officers, web portal, or online.
Why Choose GoBill?
When you outsource your prior authorization and insurance verification to GoBill, you can be sure that your claims will be processed accurately and efficiently, resulting in a higher approval rate and fewer delays.
Our comprehensive services help you streamline your workflow, reducing administrative burdens and allowing you to focus on patient care. We do this by preventing delays and denials so your practice can enjoy a steady revenue stream.
GoBill’s team of experts has extensive experience in health insurance preauthorization and insurance eligibility verification, providing you with reliable and efficient services. Get a complimentary assessment of your practice’s medical billing and practice performance today.
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