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 * THE PROCESS (current)
 * PRICING
 * SCHEDULE A CALL
 * CONTACT


PATIENT BENEFIT VERIFICATION DONE-FOR-YOU


PRE-AUTHORIZATION & PRE-CERTIFICATIONS DONE-FOR-YOU

FACT


Benefit Verification with Online Portals & EMRs is Inaccurate & Incomplete; a
Single Mistake Could Cost You Thousands of Dollars in Claim Denials

FACT

Insurance Company Reps on the Phone have Access to 3 Times More Data Than Online
Portals, Data that is Absolutely Necessary to Get Your Claims Paid



Online eligibility verification is a tempting shortcut, but ultimately
counterproductive. Online portals and EMRs can only retrieve limited data from
insurance companies. As a result, they provide inaccurate and incomplete
information. The solution - have us call the insurance company, ask all the
right questions and spend as much time as needed to get you accurate, detailed
patient benefits, pre-certification and pre-authorization information for all
your procedures before you start treatment. You stop worrying about claim
denials and slash your front desk workload by 50%. We become an extension of
your clinic. The result - Happy patients, happy staff and less claim denials.


HOW THIS WORKS

WATCH 3-MINUTE DEMO


QUESTIONS?


LET'S TALK

SCHEDULE A CALL



PATIENT ELIGIBILITY
VERIFICATION CALLS


DONE-FOR-YOU


PRE-AUTHORIZATION &
PRE-CERTIFICATIONS


DONE-FOR-YOU

Not having accurate (and comprehensive) benefits information and
pre-authorizations is THE number one reason for claim denials. Let's face it -
no one enjoys calling payers to verify benefits. It's far more tempting to click
a few buttons in web portals to get patient benefit verification data. However,
this data is often incomplete, and a single mistake can cost you tens of
thousands of dollars in claim denials. There are no shortcuts, and the only way
to get the most accurate and reliable information is to get the information the
old-fashioned way by calling the payer, asking a specific set of questions, and
getting a call reference number at the end of the call.


NO CONTRACTS,
NO SETUP FEES


PAY AS YOU GO



CLAIM DENIALS?


PROBLEM SOLVED

Denial reasons include benefit caps, policy/coverage is no longer active,
authorization denied, and denial for non-covered services. This results in
payment rejections, and even permanent loss of income due to delayed or improper
submission.

Some clinics deal with this by having staff on the phone, for 30-45 minutes or
more for each phone call, as they try to get answers from an insurance company.

Others rely on technology for eligibility information online, but the
information from online portals is not accurate, and in most cases, incomplete.

The good news - We present you with a new way that is less expensive, and more
efficient, by making the calls for you with a pay-as-you-go service.


82,912


VERIFIED BENEFITS THIS WEEK ALONE




HOW THIS WORKS

WATCH 3-MINUTE DEMO


WE SLASH YOUR FRONT DESK WORKLOAD BY UP TO 50%

You provide us with these data points about your patient through a secure,
encrypted online portal:

 * First Name
 * Last Name
 * Date of Birth
 * Address
 * Phone Number
 * Payer Name
 * Patient's Insurance ID
 * Insurance Group Number
 * ICD-10, CPT codes and dates of service (for pre-authorizations)

That's it.

Leave the rest to us.

No need to call the payers. We get on the phone and get you all the information,
even if it takes us upwards on 45 minutes for each call (that's our problem, not
yours).

Focus on patient treatment and patient satisfaction. Get paid.

We call the payer, and get you the following in a secure, encrypted manner,
mostly within 2-6 hours.

 * Verification that the policy number and group number provided by the patient
   is 100% accurate
 * Policy effective dates & current status
 * Type of policy and services covered
 * Co-pay & Co-insurance
 * Deductible limit and utilization in current period
 * Policy limitations
 * Therapy cap met / not met by the patient
 * Services that are excluded from coverage payment
 * Verification of paper claim mailing address and phone number
 * Claims adjusters name and phone number
 * Requirement for pre-authorization or referrals
 * Pre-authorization number, authorization effective date, authorizaton end
   date, number of visits approved, number of visits already used and approved
   CPT codes
 * In network benefits (if the patient is in network)
 * Out of network benefits (if the patient is out of network)
 * Timely filing limitations for claim filing
 * Documentation requirements
 * Date of call, name of insurance company rep and call reference number from
   the payer


HOW THIS WORKS

WATCH 3-MINUTE DEMO


A HAPPY PRACTICE

YOU'LL SEE LOWER DENIALS AND A HAPPIER, MORE PRODUCTIVE STAFF.
A HAPPY PRACTICE MAKES MORE MONEY.

Imagine a day in your clinic where every new patient had eligibility
verification and pre-authorizations done and available to you, without a single
member of your staff spending a minute on hold with an insurance company - all
for a fraction of the cost of doing this in-house.

Eligibility Verification is a powerful and effective service to combat claim
denials for reasons such as 'non-covered service' and denials due to lack of
eligibility and pre-authorizations.

Our service includes a summary of communication with the payer and provides you
with all relevant information - in many cases, before a patient walks into your
clinic.

We have a large team of specially trained callers who pick up the phone and call
the appropriate insurance company for every single patient and provide you with
detailed information before you start treatment.


INCREASE REVENUE

The number one problem with claim denials - inaccurate benefits information and
pre-authorizations is solved. Watch your claims get paid and your reimbursements
skyrocket


SLASH COSTS

It costs less to invest in our specially trained team to handle eligibility
calls than to have your internal staff waste endless hours on the phone.


INCREASE YOUR STAFF EFFICIENCY

Your staff should be spending time on other important tasks to improve patient
experience and grow your practice, not sitting on hold with an insurance
company.


REDUCE STRESS

You get current information about all patient benefits and can be assured that
your claims won’t be denied due to eligibility or pre-authorization issues.


LEAVE THE LONG CALLS TO US

Whether it takes us 5 minutes or 60, we'll stay on the phone with the payer as
long as needed to get you all the information to submit a clean claim and get
paid. When you use our eligibility verification and pre-authorization service,
you’ll save money, collect more from payers, and grow your practice.


QUESTIONS?


LET'S TALK

SCHEDULE A CALL


CHOOSE YOUR PLAN
(NO CONTRACT, NO SETUP FEE, NO CANCELLATION FEE, CANCEL AT ANY TIME)


STARTER

 * $600/month
 * includes 50 verifications/month
 * $12 per additional verification
 * Replace 1 full time staff


GROWTH

 * $2000/month
 * includes 200 verifications/month
 * $10 per additional verification
 * Replace 2 full time staff


ENTERPRISE

 * $4000/month
 * includes 500 verifications/month
 * $8 per additional verification
 * Replace 4 full time staff


ESTIMATE MY COST

If I choose the Starter Growth Enterprise Select Plan plan, it includes ____
verifications per month. If I exceed ____ verifications and request 1020304050
60708090 100110120130 140150160170 180190200 Select additional additional
verifications in that month, I will be charged an additional (____ x $____ = $)
, so my total cost for that month will be $____.






WHICH PLAN MAKES SENSE FOR ME?

If you see 5-8 30-40 80-100 Select No. of Patients new patients a week, the ____
plan makes sense because you'll do ____ verifications a week, plus additional
verifications during re-evaluations / progress notes (highly recommended). You
will also need pre-authorizations for many of your patients. You will need
around ____ verifications each month.

With the starter plan, the cost is $12 per patient verification with a monthly
minimum of 50 verifications / pre-authorizations. If this number is not reached,
you will still pay the minimum charge for 50 verifications, which is $600 for
that month.

With the growth plan, the cost is $10 per patient verification with a monthly
minimum of 200 verifications / pre-authorizations. If this number is not
reached, you will still pay the minimum charge for 200 verifications, which is
$2000 for that month.

With the Enterprise plan, the cost is $8 per patient verification with a monthly
minimum of 500 verifications / pre-authorizations. If this number is not
reached, you will still pay the minimum charge for 500 verifications, which is
$4000 for that month.

There is no carry forward of unused verifications with any plan.


NO CONTRACTS

Our pricing model is simple and transparent - no contracts and you can cancel
anytime.




THE SAVINGS

If you pay a staff member $15/hr, and they spend 45 minutes getting eligibility
information, entering this information into your EMR and filling out
authorization forms, you've now invested about $10 into the eligibility
verification for that patient, and you may still end up with incomplete /
inaccurate information, which ends up costing you much more.


WE MAKE THE CALLS

We call the payer, and stay on hold for as long as it takes to get you the
information you need.


WE KNOW WHAT TO ASK

We know exactly whom to call, and what to ask. You'll have the information the
second we do. We become an extension of your facility.


WE ACCESS PAYER PORTALS

Payers regularly make policy changes without notifying you, and most patients
don’t know their current policy benefits. We access payer portals to get you
authorizations, and we help you stay current.


NO FINE PRINT

Month to month. No contracts. Keep us around if you're happy.


SECURE, ENCRYPTED DATA

We use a 100% secure, encrypted HIPAA protected communication channel to send
you all patient data.


HAPPY PATIENTS

We verify all patient benefits & obtain pre-authorizations, so you can discuss
payment options with patients before beginning treatment.


HOW THIS WORKS

WATCH 3-MINUTE DEMO


READY? LET'S TALK

SCHEDULE A CALL


CALL (800) 421-8442

or Email support@eligibilityverification.com



© 2023 Eligibility Verification| A Division of In Touch EMR LLC. 179 Route 46 W
Suite 15-395, Rockaway, NJ 07866 | Privacy Policy