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Patient Eligibility and Verification

eligibility and verification

Patient Eligibility and Verification Services

Medical practices use Patient eligibility and verification process to confirm a patient's insurance coverage and benefits before providing medical services. These services are pillars in making sure insurance coverage information within the healthcare organizations are accurate and processed timely. Healthcare providers receive proper reimbursement because of these strategic working models. Without robust checks and balances, there is a risk of financial losses. Ineffective verification processes lead to delayed payments, increased rejections and cause a severe decline in revenue collection.

Speedy and detailed Patient Eligibility and Verification services gives healthcare providers a complete overview of coverage details, including out-of-network benefits and payment obligations. Instapay Healthcare Services with its extensive experience ensures compliance with all government and insurance regulations. Our Patient Eligibility and Verification services are designed to address the specific needs of varied healthcare specialities, irrespective of their scope and practice size.

With us, be rest assured of flawless claim submissions, amplified collections, and increased level of patient satisfaction. Instapay Healthcare Services’ RCM-focused services not only streamlines operations but significantly brings down claim errors. This maximizes revenue potential for healthcare organizations.

Key Elements in Patient Eligibility


Insurance status
Services covered
Deductibles, co-pays, and co-insurance
Network status


Key Elements in Patient Verification


Personal information
Insurance information
Eligibility status
Authorization requirements

Our Process


Obtaining basic information from patient’s insurance identification card

Comparing the information against provider and plan data for any inaccuracies

Validating name and address information, and the effective date of coverage

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Instapay Healthcare Services’ Best Practices

  • Using advanced, cutting-edge technology to stay current with the regulations
  • Automated verification process that reduces risk of manual human errors
  • Streamlined workflow through scheduling systems, emails, calls, texts, etc.
  • Effective use of communication channels to keep patients and providers in loop
  • Missing or invalid data resolution for proper claim submission

Benefits of Patient Eligibility and Verification through Instapay Healthcare Services

  • Reduction in claim denials
  • Improved cash flow
  • Decreased billing errors
  • Complaint solutions
  • Lowered operational costs
  • Decreased claim rejections and bad debt
  • Experts handling the processes
  • Better patient satisfaction