Patient Eligibility Verification

    24/7 e-MDs Real-time Patient Insurance Eligibilty Verification Process !

    Are You Shocked With Delayed Discovery of Uninsured Patients ?

    BillingParadise saves e-MDs' EHR/EMR users from such embarrassing situations by providing triggering patient eligibility verification process right in the beginning of the revenue cycle management (RCM) process, when the patient phones for an appointment or checks-in through the patients' portal or at the hospital reception. Such an initiative saves time, effort, and confusion at the discharge stage.

    You often play down the importance of ascertaining whether the patient is covered by insurance for the healthcare services provided by your hospital. To make matters worse, you only realize at the final clinical stage when the patient is about to be discharged or even after the patient is discharged that insurance coverage is either not available or has even lapsed. Change this scenario with our patient eligibility verification services.

    "According to the American Medical Association (AMA) eligibility verification helps practitioners to save about $4,000 per physician."

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Our 24/7 e-MDs-ehr-emr RCM Process

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Low e-MDs-ehr-emr revenue cycle management prices

This is what sets us apart

Workflow BillingParadise

(3.99% of collections)

EMR/EHR Service
Getting you a daily report on Patients’ Insurance Eligibility info, Procedure Eligibility info, Co-pay, Deductible, Insurance Pre-authorization info and Patients’ Pre-existing Condition info before 8:00 am local time. Only Insurance Eligiblity Info is avaialble.
Medical Coding and Coding Analysis by dedicated specialty specific Certified Medical Coders (CPC) for maximum reimbursement and to zero down denials.
Creating clean claims. 7 expert podiatry billing teams who offer specialized services across the breadth of your entire billing cycle
Claim Scrubbing to zero down denials.
Transmitting claims to the insurance companies within 12 hours from the time of visit.
Acting on clearing house report instantly
Following-up with the insurance companies over the phone from the seventh day of claim transmission.
Posting the EOBs and ERAs.
Following-up with denied claims (Denial Management) and resubmitting claims on the same day
but not on the same day
Patient AR Management-Mailing-out patient statements-placing follow-up phone calls to get patients’ responsibilities collected.
Answering the patients’ questions on their responsibilities by having them call us on our dedicated toll-free number.
Access to summary/progress/analysis reports through iPhone/iPad/Blackberry.
but access only to a few reports
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Our eMDs insurance eligibility verification process includes a thorough check of…

If you are an eMDs user you can doubly check that all pertinent details about your patients' eligibility are thoroughly verified.

  • Patient's name and details of insurance policy.
  • Insurance eligibility of the patient.
  • Co-pay and deductibles.
  • Patient balance.
  • Pre-existing insurance authorization.
  • Provider's name and location.
  • Provider's eligibility status.
  • Provider's participation status with effective date.

What Do We Require for Conducting Verification Process ?

We just require the following inputs from you to complete the verification process:

  • Patient's clinical data.
  • Your Tax ID and National Provider Identifier (NPI) number.

How Are Practitioners Benefited by Insurance Verification ?

Some of the numerous benefits offered by us to users of e-MDs' EMRs/EMRs are:

Which is better: In-house/Outsourced Facility for Eligibility Verification?

Employing a staff for eligibility purposes or training your staff do the job can get expensive and time taking. BillingParadise has a team of experienced and knowledgeable professionals that will help you out with efficient and effective patient eligibility service. You can rely on us for freeing you from the hassles of insurance verification. Apart from this, we suggest that you try out AMA's Eligibility Verification Toolkit.

Is it Possible to Check Insurance Eligibility through Health Insurance Membership Card of Patients ?

Definitely not. Possession of health insurance membership card by a patient does not necessarily imply that insurance eligibility is confirmed. In addition, it does not contain the crucial patient benefit information through which co-pay and referral decisions can be made at the point of care.

Can Eligibility Be Verified Through Smart Phones ?

Sure enough. Tech-savvy BillingParadise is keeping track of the latest developments. You can perform real time eligibility checking through iPads, iPods, tablets or any mobile gadget.

We know much more!!! Do contact us for further queries, be they latest innovations like Electronic Data Interchange (EDI) transactions with insurance eligibility verification feature, integration of insurance verification with the physicians practice management software, eligibility check software, etc. or any related issues concerning free EHR/EMR subscription and RCM consultancy.

Specialized Support

An answer for your every need

Billing & Collections

BillingParadise has helped several eMDs EHR EMR users brush aside their billing hurdles and run a more profitable practice, inline, with regulatory guidelines.

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Medical coding is becoming increasingly complex. An average coder, who assigns codes without in-depth analysis can do your practice more harm than good. eMDs EHR EMR users can now code right!

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EMR Support

We take care of your front end and back end revenue cycle processes. Right from appointment scheduling and eligibility verification to claim analysis and denial resolution, our eMDs EHR EMR revenue cycle management services, have you covered. We help you leverage and extract the most out of the staff, technology and workflow of your medical practice.

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Old AR

AR calling is more than just making calls to insurers and leaving home at six. You need AR callers who are persistent, informed and quick.We work with eMDs EHR EMR users every single day and offer flexible, practice specific support.

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RCM Services

Optimize the many moving parts of your revenue cycle with BillingParadise’s eMDs EHR EMR revenue cycle management services. Our certified revenue cycle specialists will improve the compliance and performance of your eMDs EHR EMR RCM processes.

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Specialty Focused RCM Services

We have specialized teams of medical billers and coders who hold speciality specific certifications to handle your billing and coding tasks

Service Suite Tailored To Your Needs

Skilled Personnel

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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

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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

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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%

Get paid Three times faster with our 24/7 medical billing services.

Work with medical billers who understand your EHR's billing process backwards and forwards

Avail Free RCM Audit Worth $2,000! Check out 19 different KPI reports that stops your cash flow.