Eligibility & Benefit Verification

The process of verifying patient eligibility and benefits can be a time consuming process for clinics and hospitals, no matter how many patients there may be. It is important that this process be done in a timely and efficient manner. Meticulous eligibility and benefit verification helps in reducing bill claim denials due to incorrect billing, which can result in significant loss of revenue for healthcare providers.

We verify a wide range of data:

  • Effective date and coverage details
  • Individual patient eligibility
  • Type of plan
  • Payable benefits
  • Co-pay
  • Deductibles
  • Co-insurance
  • Claims mailing address
  • Referrals & pre-authorizations
  • Pre-existing clause
  • Life time maximum
  • Other related information

Our verification process will check procedure-specific coverage and benefits and all out-of-pocket costs so that patients know what is due before their visit. This will help patient collections and prevent it from aging and eventually becoming uncollectable. By reducing uncertainty about payment, our insurance eligibility verification checks also enhance patient satisfaction. Through our services, healthcare providers are able to reduce the time required for patient check-in processes (thereby enhancing service levels) and increasing productivity.

Case Studies
High Aged And Complex AR
The Client: A leading, multi-specialty medical group and health system, this customer has multiple outpatient specialties with 300+ physicians. Approximately $600M+ in charges and $170M+ in collections annually.
Coding Auditing RAC - Health System
Client Details: For a major health system with multiple hospitals located across the state, Vee Technologies provides various services including Coding, Auditing, and RAC (Recovery Audit Contractor) review.