VERIFICATION

VERIFICATION 

We believe verifying patient’s insurance is vital to the success of your practice.   Prior to the first visit you should know the at the time of service.  When verified, the patient’s verification will confirm the patient has active coverage, a or a deductible.

  • With Billing Service
  • Stand-Alone Service

Why is it important to verify patient’s insurance?

Most people/ patient’s are not aware of the insurance benefits.  Never-mind, what is their responsibility at the time of service.

Why is it important for me the provider?

We all have heard or experienced rising health insurance costs.  This is exemplified as insurance companies are passing on higher cost to the patient’s at the doctors office.  This cost is reflected in patients having higher co-payments or deductibles.

Co-payments It is common for a patient to have a $45 or $50 co-payment.

Deductible It is common for a patient to have a $2,000 or $4,000 deductible. Which means that insurance will not pay until the patient reaches that amount in medical expenses.

As a provider, you will receive no income, unless you collect the payment directly from the patient at the time of service.

Where do you submit mental health claims?

Often Mental Health are treated differently than health insurance claims.  This means that the claims are not always submitted to the insurance company on the front of the insurance card.  But, mental health claims are submitted to a third party insurance company for accurate processing.  In the verification, we will confirm who receives the mental health claims.

WE VERIFY PATIENT FOR PROVIDERS AS A STAND-ALONE SERVICE

Review the tiers for the offering that is best for your practice

Patient Verifications
Tiers per Month
  • SILVER| 1 TO 7 | Patient Verifications in a calendar month
  • GOLD| 1 to 15 | Patient Verifications in a calendar month
  • PLATINUM| 1 to 25 | Patient Verifications in a calendar month
HOW MUCH DOES YOUR PATIENT PAY AT TIME OF SERVICE
WHAT IS THE PATIENT'S CO-PAYMENT?
WHAT IS THE PATIENT'S DEDUCTIBLE?

INSURANCE TERMINOLOGY

CO- PAYMENT

Fixed amount that a patient pays out-of-pocket.

Example patient pays $40

The is the amount of money that the patient will pay out-of-pocket.  After the deductible is obtained, then insurance will begin to pay.

Example, Patient has a of $2,000.  Patient is to pay the Provider the “Allowed” amount until the deductible is reached.

“ALLOWED” AMOUNT

The maximum amount insurance will pay for a covered service code.  If you are credentialed with the insurance company, this the rate you agree to charge each patient

Example, 90834 “Allowed” rate is $100

 

** Insurance Disclaimer **

“A quote of and/or authorization does not guarantee payment or verify eligibility. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at time of service.”