Services
Insurance Eligibility and Benefits Verification Services
Overview
Verifying a patient's insurance coverage and benefits to determine the cost of medical treatment can be a challenge due to the complexity of insurance systems and inconsistent data. Checking the patient's insurance policy, copay, deductible, and coverage limitations can often lead to staffing issues, high call volumes, and inaccurate determinations. However, identifying patient responsibility in advance is crucial for managing receivables and preventing issues with delayed payments, reworks, patient satisfaction, errors, and non-payment.
AGS Health provides insurance verification services to free up staff to focus on performing other patient access services to deliver a better patient experience. Our services include insurance validation prior to appointments, determination of in and out-of-network benefits, and support for the No Surprises Act billing estimates for out-of-network and uninsured individuals.
SERVICES PROVIDED
Identify active third-party insurance coverage and benefits to reduce claim submission errors and back-end denials.
- Confirm insurance coverage and benefits
- Dual- and third-party insurance eligibility
- Out-of-state verification
- Direct connection with payer portals
BENEFITS
Reduce Delays and Avoid Denials
Performing verification checks before appointments ensures accurate, current patient insurance information, reducing errors and denials during claims processing and increasing billing accuracy.
Improved Financial Stability
An optimized verification process with transparent billing streamlines the revenue cycle, resulting in prompt reimbursement for healthcare services and improving cash flow and overall financial health.
Effective Resource Allocation
Automating processes and implementing efficient management reduces staff workload, increasing productivity and supports patient education around financial responsibility to minimize billing disputes and ensure regulatory compliance.
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Additional integrated financial clearance services to streamline your revenue cycle
Prior Authorization Services
Ensure patients are financially secure prior to service by obtaining timely prior authorization.
Patient Payment Estimation Services
Prepare for patient conversations on financial responsibility by collecting accurate good faith estimates.
Pre-Registration and Pre-Service Collections
Secure pre-service collections and patient education on estimated financial liability and payment options.
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