2220 Plymouth Rd #302
Hopkins, Minnesota(MN), 55305
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QWay Healthcare, Inc
1249 South River Road, Suite 106, Cranbury, NJ 08512.
marketing@qwayhealthcare.com

Eligibility verification​

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Eligibility verification​

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.  

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What does QWay do:

QWay HealthCare’s eligibility verification process will verify the information that is relative to the patient’s screening process.

Our process clearly identifies:

  • Effective dates
  • Plan exclusions
  • Benefits
  • Coverage details
  • Co-pays and details of Co- Insurance
  • Pre- Auth Number
  • Patient Details as against details with the Insurance
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How do we do it?

The documents received are thoroughly analyzed and verified as state by the insurers.
A day before to the scheduled patient visit patient's insurance E&B and insurance coverage data is verified with the primary and secondary payers.
Co-pay, deductible, co-insurance, in-network and out-of-network benefits, and PCP name matching are then recorded and updated in the patient notes.
A follow-up encounter with the patient is done to seek any missing or incorrect information and get the required authorization.
The client is provided with final information about the patient’s eligibility coverage and other details.

What makes you choose QWay?

Reduced A/R Days.
Data security with latest technology driven solutions
Clearer & Cleaner data on the billing system.
Low Co-Pay, Registration & billing errors.
Reduced billing & Collections cost.
Control bad debts & Improve patient satisfaction.
Aid a more effective patient financial counselling program.
Accelerate reimbursement & eradicate Rework.
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