Reduced Claim Denials
Accurate eligibility verification significantly reduces the chances of claim denials.
Accurate Eligibility and Benefit Verification Services
Ensuring Smooth and Efficient Reimbursement Processes
We provide comprehensive Eligibility and Benefit Verification services to help healthcare providers reduce claim denials and streamline their revenue cycle. Our expert team ensures that every patient is eligible for the billed services, increasing the number of 'clean' claims sent to insurers.
Our Eligibility and Benefit Verification Services
According to industry sources, 75% of all claim denials occur because the patient is not eligible for the billed services, often due to policy termination or modification. At Tenacity, we help practices dramatically reduce their accounts receivable cycle and increase revenue by minimizing the impact of ineligibility and increasing the number of 'clean' claims sent to insurers. These claims are complete and pertain only to patients eligible for benefits, ensuring a smoother and more efficient reimbursement process.
How Our Verification Services Work
- We ensure patients are eligible for the services billed, reducing the chances of claim denials.
- We increase the number of 'clean' claims sent to insurers, which are both complete and accurate.
- We minimize delays in payments and reduce the need for rework.
- We improve the overall patient experience by reducing errors and ensuring smooth claims processing.
- We provide high-quality services that help healthcare providers manage their revenue cycle more efficiently.
Why Choose Our Eligibility and Benefit Verification Services?
Increased Revenue
OMore 'clean' claims mean higher reimbursement rates and improved cash flow.
Improved Patient Experience
Fewer errors and smoother claims processing enhance patient satisfaction.
Cost Efficiency
Our centralized unit provides high-quality, cost-effective solutions.