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Service Overview

Verification of Benefits

VERIFICATION OF BENEFITS

Provide accurate patient liability estimates at point of care through real-time benefit verification, dramatically reducing payment surprises and improving patient financial experience. Our VOB services integrate with your scheduling and patient communication systems.

COMPREHENSIVE VOB SERVICES

We provide batch verification with scheduled checks for upcoming appointments, real-time verification at check-in with instant patient liability estimates, deductible tracking with real-time deductible status and utilization tracking, copay and coinsurance requirement verification with accuracy, prior authorization requirement identification before visits, dependent coverage verification for family members, coverage termination date monitoring preventing claim denials, and patient financial counseling sheets with clear cost estimates.

INTEGRATION & BENEFITS

We integrate with patient payment portal and automated pre-visit communications, provide predictive analytics identifying high-risk accounts for early intervention, enable proactive patient communication regarding costs, reduce payment surprises and collections issues, improve patient financial experience and satisfaction, and support better financial conversations with patients. Monthly reporting tracks benefit verification accuracy and patient financial indicators.

ACCURACY & RELIABILITY

We maintain greater than 95% first-contact accuracy with comprehensive payer validation, provide real-time access to current payer databases and benefit information, validate coverage information with multiple payer data sources, flag inconsistencies and unusual coverage situations, track verification accuracy metrics and trending, and continuously improve processes based on accuracy analysis and payer feedback.

Key Benefits

Batch Eligibility Checks
Real-time Verification
Deductible Tracking
Copay Verification
Authorization Screening
Dependent Coverage Verification
Termination Monitoring
Patient Financial Counseling