Reduce Coverage Errors and Rejections

Eligibility and Benefit Verification services are crucial for accurate and timely processing of insurance coverage information within healthcare organizations. Without effective checks and balances in this area, financial inefficiencies can arise. Ineffective verification processes or lapses in prior authorizations can lead to late payments and rejections, which negatively impact collections and overall revenues.

Swift and precise determination of patient eligibility from the start provides healthcare providers with a comprehensive view of coverage details, including out-of-network benefits and payment obligations. HealthIQ Solutions boasts extensive experience working with a wide range of government and commercial insurance entities, including BCBS, UHC, Aetna, and GHI. Our specialized Eligibility and Benefits Verification services are designed to meet the unique needs of various medical specialties and practices, regardless of their size or scope.

Our dedication to accurate Eligibility and Benefits Verification enhances healthcare providers’ ability to submit flawless claims, increase upfront collections, and improve patient satisfaction. HealthIQ Solutions’ focus on these essential services ensures streamlined operations, reduces claim errors, and maximizes revenue potential. With HealthIQ Solutions as your RCM partner, your Eligibility and Benefits Verification needs will be expertly managed, promoting a better patient experience.

Eligibility Verification capabilities include:

• Real-time Eligibility Results
• Exceptional Workflow
• Customized Dental Benefits
• Telemedicine Eligibility Checks