ELIGIBILITY & BENEFITS VERIFICATION

In the absence of proper eligibility and benefit verification, countless downstream problems are created — delayed payments, reworks, decreased patient satisfaction, increased errors, and nonpayment. To avoid these problems, Kayal Business Solutions provides a remotely hosted Centralized Eligibility Unit for Hospitals and Faculty Practice Plans. The solution consists of  Kayal Business Solutions staff, technology, management and our expertise with the objective of delivering high-quality, cost-effective patient insurance eligibility and related services.

Kayal Business Solutions Eligibility Verification Services has the potential to:

• Improve A/R cycles (reduce A/R days)
• Increase cash collections by reducing write-offs and denials Eligibility and Benefits Verification
• Receive Schedules from the Hospital/Providers via EDI, email or fax
• Verify coverage on all Primary and Secondary (if applicable) Payers by utilizing sites like WebMD, Payer Web Sites, Automated Voice Responses and phone calls to Payers
• Contact patient for information if necessary
• Provide the client with the results which include eligibility and benefits information such as member ID, group ID, coverage end and start dates, co-pay information and much more

Related Services :

• Obtain Pre- Authorization Number
• Obtain referral from PCP
• Enter/update Patient demographics
• Remind patient of POS collection requirements
• Inform client if there is an issue with coverage or Authorization
• Medicaid Enrollment

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