To succeed in today’s consumer directed healthcare environment, healthcare providers need proven, efficient ways to maximize collections - both from patients and payers.
According to industry sources, 75% of all denials are because a patient is not eligible for services billed to the insurer. Often, a patient would be ineligible for benefits because his or her policy has been terminated or modified.
Billing the wrong insurance carrier or not having correct patient co-pay and deductible details can result in denials, delayed payment, increased billing and collection costs, and patient bad debt—all of which significantly impact the bottom line. This can happen for many reasons. First, the patient may supply the wrong or outdated information. Second, the practice could type the incorrect information. Either way, the claim will be denied.
Understanding these challenges, Dpro employs an effective solution. Designed for optimal efficiency, Dpro gathers coverage details, patient co-pay, benefit and deductible information thru various sources. The solution consists of Dpro deploying staff, technology, management and expertise with the objective of delivering high quality cost effective Eligibility & Benefit verification services.Dpro's Eligibility Verification Service Includes,
Dpro's Eligibility Verification Service Includes,
By utilizing payer websites, ecare website, WebMD, Automated Voice responses and phone calls to payers. We provide the client with the results which include eligibility and benefits information such as member ID, group ID, coverage end and start dates, co-pay information and much more. To learn more about our services, contact us today at 1-770-755-5233 or by using our contact us form.
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