Delays or denials in medical claims are often the by-products of inaccurate or incomplete insurance information provided by patients or missed out by administrative staff. Determining insurance eligibility directly impacts a provider’s reimbursement. Failing to verify a patient’s coverage often leads to payment delays, claim rejections, non-payment, and decreased patient satisfaction.
QWay Healthcare’s eligibility verification process thoroughly checks all essential patient insurance details, including effective dates, plan exclusions, benefits, coverage specifics, co-pays, co-insurance, and pre-authorization numbers. We also cross-verify patient information against insurer records to ensure complete accuracy before claim submission.
QWay HealthCare’s eligibility verification process will verify the information that is relative to the patient’s screening process.
Our process clearly identifies:
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We have the expertise on the below systems and can work on any inhouse software that you use