Legion Healthcare Solutions

Insurance Verification

Insurance verification has become a significant step when it comes to medical billing. The increased number of payers, means that providers have to deal with complex ecosystems wherein validation of coverage, benefits, co-payments, and deductibles is required.

Here are three steps Legion Insurance Verification team follows:

Step 1 Insurance Verification Checklist

When a patient makes an appointment, our insurance verification team will demand an insurance card, if required, other info like phone number and claims address can also be demanded. Patients' Electronic Health Record (EHR) gives an complete info about patients' policy. Here are some important aspects providers should check:

  • Period of effective policy.
  • Does insurance cover the procedure, diagnosis, or services to be provide.
  • Whether the provider participates with policy, is there any copay.
Step 2 Setup Electronic Eligibility

Integrated EMR and billing systems will help to get insurance verification done without contacting the insurance company directly. Checking patient insurance info using electronic eligibility techniques makes the process faster and eliminates the chances of possible data-entry errors. In some cases, our verification team might need to get on to the hotline with the payer to cover all corners before scheduling an appointment.

Step 3 Patient follow-up

If the provider has concerns in regards to reimbursement, the Legion verification team can directly contact the patient using online mediums or via a phone call. In most of patient follow-up, providers inform about out-of-pocket costs.  

Legion, Insurance Verification Service company understands the demands of modern providers and how to approach payers. Here are some of the salient features:

  • Improve AR and cashflow
  • Improve patient care and satisfaction
  • Minimize denials and rejections

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