Insurance Verification Automation

4 out of 5

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Errors in patient eligibility have a cascading effect across processes in the post-acute care ecosystem. The effective ability to identify patient coverage before patient visits is critical to minimize operational overheads and financial bottlenecks.

Insurance verification automation helps ratify patient insurance eligibility, easing the intake process and eliminates the need for time-consuming manual verification of new referrals.

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Workflow description

Eligibility/Insurance verification is a multi-step task at any post-acute organization requiring multiple logins into disparate systems of record to verify information provided by a single patient.

Monitor patient referrals requiring eligibility checks

Extract & analyze patient insurance data

Verify eligibility information at payer site

Upload status and supporting documentation to EHR

When performed manually, it can potentially take several hours over just a week and seriously hinder the time to care, with studies even suggesting it can affect referral rates due to provider preference for organizations with a seamless intake process.

Element5's Insurance verification automation solution completely removes the need to sift through different systems of record to ensure care delivery can begin at the earliest and proper reimbursements go through on time. The system automates the task of scanning for patient insurance data, extracting & analyzing it to verify relevant plan information, and updating the same on the EHR.

Benefits and ROI

  • Accelerate speed and quality of care by reducing the time between referral & first visit
  • Improve staff job satisfaction by removing mundane data entry & manual verification from staff's shoulders and allow better focus on business-critical tasks
  • Ensure accuracy of insurance information when onboarding new patient referrals and recognize revenue faster

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Insurance Verification Automation

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