Insurance verification is the initial and crucial step for getting the claims accepted for reimbursements. Whether or not the claims are accepted on the first submission depends on how well the verification process has been done. Because health insurance verification is tedious and time-consuming. A simple error in the process can get the claim rejected, resulting in the denial of reimbursements as well as an interruption in cash flow.
KGiS offers an in-depth insurance eligibility verification service that enables pre-authorization for valuable medical services.
KGiS offers an in-depth insurance eligibility verification service that enables pre-authorization for valuable medical services.
Insurance companies make policy changes and updates to healthcare plans. Therefore it is so important for a healthcare provider to verify if the patient is covered under a relevant plan to get the maximum reimbursement.
We take a proactive approach to ensuring a consistent cash flow for the healthcare providers. If there are any discrepancies, our team of insurance verification specialists will contact insurers to rectify the issues and perform online verification so that hospitals have the patients’ insurance coverage details before they arrive for treatment.
We take a proactive approach to ensuring a consistent cash flow for the healthcare providers. If there are any discrepancies, our team of insurance verification specialists will contact insurers to rectify the issues and perform online verification so that hospitals have the patients’ insurance coverage details before they arrive for treatment.
Outcomes
Level 1 Verification
A basic insurance eligibility verification process that focuses on coverage details of the patients as well as the co-pays and deductibles applicable.
Level 2 Verification
An in-depth verification process that involves gathering code-specific eligibility details with annual max or lifetime limits and authorizations, when required.
OUR PROCESS

Receiving the patient’s schedule

Verifying insurance coverage

Contacting the patient (if required)

Document in EHR