Eligibility and Benefit Verification

The primary step in submitting a “clean claim” is Eligibility and Benefits Verification. AccuretRCM, through its Eligibility and Benefits Verification service guarantees the patient account is set- up with most updated insurance details so that clean claim can be generated for adjudication by the insurance.

Eligibility verification and plan-specific benefits information confirmation before services render fewer claim rejections and denials, but it also lays the foundation for an effective patient financial counseling program.

In absence of proper Eligibility and Benefit Verification, problems such as delayed payments, rework, decreased patient satisfaction, increased errors, and non-payment occurs. AccuretRCM deploys staff, technology, management and expertise with the objective of delivering high quality cost effective Eligibility and Benefit verification services.