Pre-estimation & Eligibility Verification
Our Pricing Plans
Silver
$10/hr
Obtain the appointment information from practice
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Gathering appointment details to verify patient eligibility and predetermine coverage, ensuring accurate pricing and smooth billing.
Checking Patient Insurance Eligibility
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Verifying active insurance coverage through payer portals or direct communication by calling the payer.
Provider Network Status Confirmation
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Confirming whether the provider is in-network or out-of-network to ensure correct billing and avoid unexpected patient costs.
HMO Plan & PCP Referral Verification
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Verifying HMO plan requirements and primary care physician (PCP) referrals to ensure services are authorized and covered.
Coverage Verification for Specific Services
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Confirming insurance coverage and benefits for specific medical services to prevent claim denials and unexpected patient costs.
Gold
$12/hr
Obtain the appointment information from practice
▶
Gathering appointment details to verify patient eligibility and predetermine coverage, ensuring accurate pricing and smooth billing.
Checking Patient Insurance Eligibility
▶
Verifying active insurance coverage through payer portals or direct communication by calling the payer.
Provider Network Status Confirmation
▶
Confirming whether the provider is in-network or out-of-network to ensure correct billing and avoid unexpected patient costs.
HMO Plan & PCP Referral Verification
▶
Verifying HMO plan requirements and primary care physician (PCP) referrals to ensure services are authorized and covered.
Coverage Verification for Specific Services
▶
Confirming insurance coverage and benefits for specific medical services to prevent claim denials and unexpected patient costs.
Patient Cost Determination
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Calculating patient responsibility such as deductible, co-pay, and coinsurance.
POPULAR
Platinum
$15/hr
Obtain the appointment information from practice
▶
Gathering appointment details to verify patient eligibility and predetermine coverage, ensuring accurate pricing and smooth billing.
Checking Patient Insurance Eligibility
▶
Verifying active insurance coverage through payer portals or direct communication by calling the payer.
Provider Network Status Confirmation
▶
Confirming whether the provider is in-network or out-of-network to ensure correct billing and avoid unexpected patient costs.
HMO Plan & PCP Referral Verification
▶
Verifying HMO plan requirements and primary care physician (PCP) referrals to ensure services are authorized and covered.
Coverage Verification for Specific Services
▶
Confirming insurance coverage and benefits for specific medical services to prevent claim denials and unexpected patient costs.
Patient Cost Determination
▶
Calculating patient responsibility such as deductible, co-pay, and coinsurance.
Report before 48 hours
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The report will be generated and sent 48 hours before the appointment date to ensure patients are contacted in advance and informed of their financial responsibility.
Same-Day Report Update
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Appointments booked within the last 48 hours will be reported on the day of the appointment.
Client Support
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Offering dedicated assistance to address client queries and ensure smooth operations.
