Eligibility and benefits verification

Patient insurance eligibility and benefits verification is the first and most important step in the billing process. That means your front office has to obtain accurate information from patients. It’s important to determine each patient’s insurance eligibility, including:

• coinsurance or copay,
• deductible,
• benefits cap,
• Payer information,
• whether the payer requires specialized forms or additional documentation, and
• Whether the payer requires authorization. Some payers will retroactively authorize services, but for those that don’t, you need authorization before you begin providing services.
• TexMed Revenue helps you with eligibility and benefits complete verification service. We verify benefits within a short window of time before the patient’s appointment while scheduling, it helps ensure patients into their financial obligations so payment collection is easier.