Insurance Verification, Eligibility and Benefit Verification, Pre-Authorization Healthcare Services

Insurance verification is one of the most neglected elements in the revenue cycle. In the absence of proper eligibility & benefit verification countless problems are created; delayed payments, rework, patient satisfaction, errors & nonpayment.
July 1, 2009 - PRLog -- According to industry sources, 75% of all health care claim denials are because a patient is not eligible for services billed to the insurer by the provider. Often, a patient would be ineligible for benefits because his or her policy has been terminated or modified.

In the absence of proper eligibility and benefit verification countless downstream problems are created; delayed payments, rework, decreased patient satisfaction, increased errors, and nonpayment. To avoid these problems, Global Edge provides a remote calling agents for Hospitals and Faculty Practice Plans, who call individual insurance plans to confirm coverage and other details. The solution consists of Global Edge deploying staff, technology, management and expertise with the objective of delivering high quality cost effective patient insurance eligibility and related services.

Global Edge Eligibility Verification Services can provide the following services

- Very economical Insurance Eligibility Verification Services by calling agents
- Improve Account Receivable Cycles (reduce Account Receivable Days)
- Benefit Verification Services
- Verify coverage on all Primary and Secondary (if applicable) Payers.
- Provide the client with the results such as member ID, group ID, coverage end and start dates, co-pay information and much more.
- Obtain Pre- Authorization Number
- Enter/update Patient demographics
- Inform client if there is an issue with coverage or Authorization
- Quick TAT, can handle large volumes each day, and 99% + guaranteed accuracy.

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Global Edge is a leading provider for Medical Billing and coding services. Our comprehensive services include the complete gamut of medical transcription, medical coding, medical billing, practice management and complete revenue cycle management.
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