Epic Patient Eligibility Verification Services

Automate and Accelerate patient payments using Eligibility and benefits verification system integrated with EPIC.

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Are your 'insurance benefits' statements looking jumbled and inexplicable ?

Patient Insurance Eligibility Verification is the top of hospitals bolt-on RCM solution shopping list." says CapSite Sr. VP and GM, Gino Johnson.

Most EHR solutions are really challenging the decipherability of the insurance benefit statements due to the toting up of some unnecessary data, in an attempt to build a bizarre outlook. But, our NexGen's software system is designed to present you detailed information on your patients' insurance benefits in an easy-to-read format. The details include patient name, payer name, policy number, patient balance, eligibility status, provider status, effective and term dates, pre-authorization, pre-existing and any comments (eg: preauthorization tenure)

Epic Integrated Patient eligibility verification system

Schedule an online demo with one of our knowledgable associates to see how our integration with your EHR can help you automate the patient eiligibility verification process.

How could I trim down my patient's 'no-pays' at the time of service?

Our Epic software determines the co-pay amounts, deductibles, and benefit coverage prior to the time of service. Thus, you could reduce "no-pays" with our automated time-cutback features.

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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 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

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

Number of Users

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

Epic Revenue Cycle Management Workflow Structure

This is what sets us apart

Recommended
Workflow BillingParadise

EMR/EHR's RCM 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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We are loved by our clients

Theresa never knew that her ob gyn practice could generate so much revenue. We helped her find out the weak links in her billing cycle, identify revenue opportunities and boosted her ob gyn center's revenue significantly. Now, over to her...

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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Is your EHR system HETS 270/271 Compatible?

The data input fields of our EHR system is a clean companion of HETS (HIPAA Eligibility Transaction System) 270/271 and other eligibility transaction systems. This feature would mainly benefit the large volume providers who frequently perform patient eligibility checking for Medicare. Besides, it permits the release of secure patient eligibility data to Medicare Providers, or their authorized billing agents to organize an accurate claim, determining in beneficiary liability or eligibility for specific services.

Epic EHR platform creates a hindrance-free workflow through our automated formulary checks and insurance eligibility screens, so as to reduce your work load and to get precise information on your patient's coverage. Our system is advanced and amicable to you, so that you could view the comprehensive patient details at a single point.

Our system allows the release of patient's appointment, payment and eligibility data to authorized practices, payers or billing agencies through a highly secure conduit. To accomplish 100% claim acceptance rate, our system assists your front desk to perform electronic eligibility screening prior to the claim creation process.

Want To know How Dr. Patrick of California Transformed his Epic EHR in to a profit making Tool ?

Your Benefits:

  • Electronic eligibility verification
  • Well secured conduit
  • Real time scrutiny
  • Reduce 'no-pays' on your patient ingress.



Specialty Focused Billing Services

We have specialized teams of AAPC certified medical billing specialist who hold speciality specific certifications to handle your billing and claims management

*Disclaimer: BillingParadise is not an authorized eClinicalWorks RCM vendor or partner. BillingParadise is a third party full service Revenue Cycle Management company. It has expert work force and teams in respective EMRs with respect to billing,coding and collection functions.

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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