- Patient Scheduling and Appointment Management
- Eligibility and Benefits Verification
- Prior Authorization
- Patient Registration / Patient Demographics
- Charge Entry and Charge Audit
- Medical Coding Services
- Revenue Integrity Services
- Medical Coding Audit and Education Services
- Clinical Documentation Integrity Services
- Remittance Processing Services
- Accounts Receivable Services
- Denial Management Services
- Credit Balance Services
- Provider Enrollment and Credentialing Services
- Medical Billing Specialist
Eligibility and Benefits Verification
At Revelationcare, we are aware of the importance of thorough eligibility and benefits verification procedures for providers to deliver timely, precise, and comprehensive information about a patient’s insurance coverage. Based on the patient’s eligibility, our Eligibility and Benefits Verification Services help healthcare professionals make educated decisions about the type of care provided, medications prescribed, and additional diagnostics. This is especially important in elective and non-emergency procedures.
We think that if there aren’t adequate checks and balances in place, there could be significant revenue leaks as a result of rejections and postponed payments. To prevent this, we inform our clients in advance about the patient’s eligibility before the actual encounter. The classification of out-of-network benefits, the range of coverage, and the ensuing financial obligations are all made possible with the aid of this information by healthcare providers who can then suggest a course of treatment.
Verifying the patient’s eligibility is handled by our knowledgeable team of professionals. They are skilled at calling individual payers and checking websites to see if the patient is covered and receiving benefits. We guarantee a quick turnaround for our clients and a standardized eligibility verification and admissions process.
Why clients prefer Revelationcare for Eligibility Verification Services?
- Effective communication with the payer through the best channels.
- Quick detection and correction of missing or incorrect data.
- Robotic process automation to increase efficiency and precision.
- Verify the patient's demographics and insurance information, including the coverage's inclusions and exclusions as well as its benefits and deductibles
- Obtain approval for benefits verification and a pre-certification number.
- Check the patients' coverage, co-pays, co-insurance, deductibles, and claim mailing addresses for all primary and secondary payers. Update the revenue cycle management system
Why clients prefer Revelationcare for Patient Scheduling and Appointment Management?
- Reduced denials because of patient information.
- Confirmation of accurate and comprehensive data.
- Lower rejection rates due to informational problems.
- Upfront explanation of the patient's obligation.
- Increased patient contentment.
- Enhanced standard.
To find out how your company can benefit from Revelationcare’s prior authorization services, get in touch with us