Cerner


Patient Eligibility Verification Services

    Thorough patient insurance eligibility checks for cerner users !

    According to a MGMA report 50% of medical claims are rejected due to insurance eligibility issues. We help cerner users to be on the safer side! Our, cerner insurance eligibility checking team, comprises of experienced professionals. They verify the authorization and referral details of the patient.

    We inform the patient about co pays and deductibles that need to be paid, prior to the patient's visit. See an increase in self-pay collections by working with us!

    This is how we work with cerner…

    cerners makes it easy to view patient information without going through a labyrinth of features. We use the patient look up feature, to review the details of patients. The medical billing information and insurance details of the patients are viewed. The patient hub of cerner consists of the appointment and payment details of the patient.

    We carry out a thorough insurance eligibility check, prior to the claims creation process. This is one of the reasons, why we have a 100% claims acceptance rate!



Quick Inquiry Form

What is included in the patient eligibility and benefits services?

Obtaining workflow data through various methods:

  • Patient data from EHR/EMR or
    third-party scheduling applications
  • Manual patient data files such as FTP, email, fax, etc

Verification of basic patient registration information:

  • Member and group ID
  • Primary and secondary coverage details

Patient data correction and automation:

  • Fixing invalid patient data.
  • Eligibility and benefits information updating using our proprietary eligibility automation tool.

Patient eligibility and benefits verification service checklist, But Not Limited To

Health insurance carrier status

Health insurance plan type

Group numbers

Dependents covered under the plan

Insured contact details if any

Covered and non-covered services information

Deductibles

Co-pay details

Pre-existing condition waiting period if any

Referrals

Pre-authorization checks for services

Plan limitations and exclusions

Realize how much money you will save

Hours spent

Hours Spent checking patient eligibility/Week

  • 60 Hours / Week
  • Total hours your in-house resources spend checking patient balance + benefits
  • You spend $ 9000 every week for in-house resources
  • BillingParadise’s cost $ 1350 / Week
$ 7,650/ Week
person to automation process

Average Hourly Rate at your office premises

  • 50 $ / Hour
  • Average rate you pay your resources
  • $ 50
  • BillingParadise Resource’s cost $ 7.5
$ 30,600/ Month
Increase in user

Number of Users

  • 3
  • Number of resources that will be involving in the eligibility, verification & benefits process
  • 3
  • 3
$ 3,67,200/ Year

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EV FTE Resources

EV FTE Resources

Our dedicated personnel aggressively contest and ensure effective denial management. The service we offer is a complete hands on approach. Our account specialists work hard and deliver results. We have personnels equipped with the unique ability to coordinate across all payor platforms. Results that are reflected on increased revenue stream. Our personnel are regularly trained to keep up with the changing currents of payor specification. We pride ourselves on strict adherence to compliance measures and secure aggregation when it comes to usage of confidential data.

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Automated Patient Eligibility Software

Automated Patient Eligibility Software

We provide our clients a foolproof cloud based software that automates processes and caters to all things patient eligibility. This software provides state-of-the-art IT support and propels your revenue generation. We simplify and upgrade your current RCM strategy through automation, and our skilled personnel conduct a comprehensive review ensuring quality performance. All of this is seamlessly scalable to meet your demands specifically. We offer all of these productive & influential products at a very cost-effective rate.

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Major advantages…

  • Secure encrypted systems
  • Absolute patient data security
  • More accurate claims and cleaner billing data
  • All eligibility transactions in compliance with CORE operating rules
  • Our 24/7 workflow enables you to perform realtime eligibility checks

And the biggest advantage of all…

Is that you'll be working with an experienced, cerner patient insurance eligibility verification team. After a decade of experience in the billing field, we certainly have an edge over the rest. We've worked with all major government, private and commercial insurance carriers. We know the eligibility rules of Medicare, Medicare, Aetna, Cigna, Humana, United Healthcare and hundreds of other insurers, like the back of our hands !


Cerner Patient Eligibility using Robotic Process Automation

Delivering 100s of eligibility checks a day! Talk to us to know more.


BillingParadise Flawless Tech To Curb Eligibility Denials

We at BillingParadise offer our providers the most effective automated workflow to bypass patient eligibility denials. Our services ensure a hassle free experience for both the providers and their patients. We ensure comprehensive eligibility checks through automation tech prior to services rendered. Through our system the provider is immediately informed of pending patient responsibilities, CO-Pay and other dues. We provide an aggressive check system where all patients' status are verified.

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Service Suite Tailored To Your Needs

Skilled Personnel

graph with increase

BillingParadise employs trained personnel to manage your claim denials. All claim reworks are done in the fastest way and are always inspected by our in house quality auditors before resubmission.

Foolproof System

a person achieved something

At BillingParadise we have designed our Denial Management Operation workflow to be streamlined and highly productive. We ensure that your denials are reworked correctly and on time.

State-of-the-art Tech

ideal thinking by two person

BillingParadise provides you the most optimized and cost effective software.The DenialBridge is a turnkey software solution. Easily deployable, seamlessly scalable & can be maintained & updated.

Hire one/combination of services/all, we at BillingParadise will meet your needs 100%



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