365, BSS, KGiSL Campus, Thudiyalur Road, Saravanampatti, Coimbatore - 641 035, India.

+91 422 4419999

kG Hawes, 400 International Way, Suite #300 Springfield, OR 97477, United States.

+1 866-398-0494

500-325 Milner Avenue Toronto, ON, Canada M1B 5N1

+1 866-398-0494

KGiSL Juniper Building 23 San Andres St, Orange Walk Town Orange Walk District Belize C.A

+1 866-398-0494

Insurance Verification

Insurance eligibility verification - Getting the claims accepted, on the first submission!

Insurance Verification

Research confirms that most of the claims are denied or delayed due to inadequate or incorrect coverage information provided by the patients during visits and current coverage information not updated by the office / hospital staff. This lack of or improper insurance eligibility verification directly impacts the reimbursements.

Insurance companies regularly make policy changes and updates in their health plans. Therefore, it is important for the provider to verify if the patient is covered under the new plan to get maximum reimbursement.

Confirming the insurance coverage facilitates acceptance of the claim on the first submission, whereas non-verification leads to several discomforts like rework, decreased patient satisfaction and increased errors other than causing delays and denialsConfirming the insurance coverage facilitates acceptance of the claim on the first submission, whereas non-verification leads to several discomforts like rework, decreased patient satisfaction and increased errors other than causing delays and denials.

The process of obtaining the insurance eligibility verification of a patient is necessary to:

  • Ensure that the patient has coverage
  • Services that are being provided are covered
  • Minimize denials and appeals
  • Expedite payments at the appropriate rates

The Process

KGiSL’s Insurance Eligibility Verification service is offered as part of the full revenue cycle management or as a ‘stand-alone’ service if needed.

Our Approach:

  • Contact patient prior to appointment if there is any insurance / authorization issues
  • Offer accurate and meticulous verification two weeks ahead of scheduled appointment

Testimonials

Brochure and Case Study

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US optometry and vision care company effectively completes verification of 95% of insurances before appointment and shortens time taken to submit claims

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