In order to ensure successful practice and smooth procedures, it is imperative that the insurance and pre-verification process is carried out properly. As the insurance verification and pre-authorization lays the foundation of any medical practice, it is essential that patient benefits and coverage for specific medical procedures are carefully identified before the point of service to mitigate the risk of payment delays, resubmission, errors, or claim denials. ExaHealth(EXA) is backed by a team of experts that are capable of fulfilling coding tasks in a meticulous manner, without the risk of errors. Our team will help you verify the coverage of a certain medical procedure, as well as authorizing pre-service claims.
Our prior authorization services encompass all major government and private insurance providers(nationwide) such as Fidelis, GHI, Oxford, Medicare, Medicaid, HIP, Humana, and BCBS. Our team of experts is well aware of the unique requirements of each insurance provider. We take care of the authorization process from start to finish, handling paperwork, gathering information, cross-checking requirements and reviewing patient data prior to authorization.
Since the healthcare industry is dynamic in nature, insurance companies often change their policies and guidelines. This makes it necessary to revisit the medical eligibility of patients prior to their visits. Hence, part of our services also includes ‘Medical Eligibility Verification’, where our team will initiate and complete the eligibility verification process of each patient in a timely manner. This would prevent any delays in the revenue management cycle, as well as reduce the risk of claim denials and rejections. Verify patient insurance coverage and co-pay amounts up front.