How To Make Your Eligibility Verification Process More Efficient
                     How To Make 
Your Eligibility 
Verification 
Process More 
Efficient?
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 Insurance eligibiIlintyt rvoerdifiuccattiioonn is the 
initial and most significant step in the 
revenue cycle management process Without 
the eligibility verification process, it’s 
difficult to communicate with payers and 
determine the payer responsibilities. 
 These difficulties can increase the number of 
errors during the claims submissions and 
also increase the average A/R days & lowers 
the business revenue. 
 Let us discuss how to process insurance 
eligibility verification more efficiently.
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Insurance 
Eligibility 
Verification 
 Insurance eligibility verification is the 
process of checking the patient’s insurance 
coverage status, eligibility status, etc.
 Here listed Below is the checklist of 
information to be verified for a smooth and 
productive billing of each claim.
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Type of Medicare coverage
● Coverage dates
● Patient demographics
● Benefit options – including patient 
responsibilities for co-pay, co-insurance 
& deductibles
● Individual plan deductible and 
deductible remaining
● Family plan deductible and deductible 
remaining
● Referrals and pre-authorizations
● Claims mailing address
● Lifetime maximum
● Address for claims submission
● In-netwwowrkw o.erc aorueti-nodf-inae.ctowmork status
● Durable medical equipment coverage
 Without verifying this information, 
healthcare services may be wrecked. 
 Eligibility verification is of paramount 
importance as any deficiency may lead 
to claim denials and account receivables 
delays etc. 
 The major reason for claims denials and 
delays is because insurance 
eligibility verification is not done 
accurately.
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Optimize Insurance Eligibility 
Verification Process
 Here are some of the  techniques that can 
be followed to make the insurance 
verification process work effortlessly:
 Check the patient’s insurance coverage 
with the payers by reaching the 
administrators through calls, Interactive 
Voice Response (IVR), and portals.
 Updating e patient data accurately is 
essential. 
 Our medical billing team gathers the 
patient details and gets the eligibility 
verification, claims details, etc. 
 If any issues found during the eligibility 
verification process, the issue ought to be 
set out to avoid denials. 
 Through the eligibility verifiwcawtiwo.ne careindia.com
process, any miss in the patient data or 
the claims get updated and claims 
submitted error-free.
Outsourcing Makes Your Practice More 
Efficient
 Outsourcing free up the workforce to focus on progressively 
productive tasks, and meanwhile improve payment and 
collections. 
 The redistributed firm that you will work together with will 
focus on accelerating approval and co-ordinate with the 
insurance company concerning pending claims. 
 Outsourcing engages you to have better control of your 
business.
 
 It will make your practice effective and ensure smooth 
working with staff and smoothed out a business process. 
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About e-care 
Ine-cdarei Iandia is the top medical billing 
outsourcing company in India.
 We specialize in Insurance eligibility 
verification. 
 Our company has necessary security 
certifications including the SSAE 18, which is 
an added advantage.
 We have a Disaster Recovery Centre to make 
sure that business continues even during 
emergency times. 
 To know more about e-care and its services, 
log on to  www.ecareindia.com.
www.ecareindia.com
THANKS
Contact Us:
Mail Us: [email protected] 
Call Us: +1 813-666-0028 
Visit Us: www.ecareindia.com
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