Verification
A large percentage of claim rejections are due to lack of prior insurance verification or having incorrect benefit information. Getting proper health coverage information is a prerequisite to successful claim processing and patient care. Biller’s target should be getting all claims paid with first submission. In order to do that, office and biller must have patient’s correct demographics and insurance information. A form of picture ID is a must as well. At MBS, we make medical coverage verification a priority. We verify medical coverage for patients ahead of the appointment date by confirming active coverage and referral requirements. We also work with the office staff to ensure proper information is collected at the time of the appointment and help develop effective patient processing steps.