Eligibility and insurance verification are critical processes that determine whether a patient’s health insurance plan covers the required services. This ensures that healthcare providers can confirm the scope of coverage, co-pays, deductibles, and authorization requirements before a patient’s appointment or procedure. Thrive Technologies offers comprehensive eligibility and verification services designed to prevent costly billing errors and delays, helping healthcare providers streamline operations and maximize reimbursements.oundation for a smooth billing cycle and ensure that patients receive the highest level of care without administrative delays. By offering meticulous management of patient information and appointment scheduling, we help healthcare providers focus on delivering quality care while ensuring accurate data for billing and reporting.
Before the patient’s appointment, we collect the necessary information, including insurance details such as policy number, group number, and the insurance provider’s contact information. This data is then entered into our system for verification.
If prior authorization is required, we submit the necessary documentation and follow up with the insurance provider until approval is received. This proactive approach prevents delays in treatment and ensures that claims will not be denied later for lack of authorization.
We initiate the verification process by checking the patient’s insurance coverage in real-time. Our team contacts insurance companies to confirm coverage details, including policy status, network participation, and covered services.
Once the verification process is complete, we notify the healthcare provider and patient of the outcome. Patients receive a clear explanation of their benefits and any out-of-pocket expenses they should expect, while the provider is informed of any necessary steps (such as collecting co-pays) before the service is rendered.
