ScribeEMR

Insurance Eligibility

Insurance Eligibility

Efficient Insurance Eligibility Verification, Clean Submission

Insurance eligibility verification is critical to ensuring accurate and timely receipt of information regarding insurance coverage. It helps to determine the responsibility that the patient and the insurance provider have to share to pay for healthcare services.

Verifying Insurance Eligibility involves:

Accurately recording personal information of the patient and their insurance coverage

Contacting Insurance Provider, confirming the policy, and obtaining Pre-authorization(s)

Following up with the patient, if needed, and updating the billing system

Verifying the insurance eligibility offers clinicians a clear view of the patient’s coverage that determines the type of treatment they can provide to the patient while minimizing the patient’s financial burden. Medical insurance should be always be verified before the clinical visit.

Lapse in Insurance Eligibility Verification can result in:

Delays with Patient Visit

Claim Denials and Rejections

Delayed Reimbursement

Why Verify Insurance Eligibility?

Verifying Insurance Eligibility

Studies indicate that claims worth millions are denied every year due to expired eligibility, or because the treatment service was not covered by a particular insurance plan. Verifying the eligibility of the patient allows the billing staff to analyze insurance coverage for clean claims and avoid re-submissions or rejection. 

Verifying Insurance Eligibility

Studies indicate that claims worth millions are denied every year due to expired eligibility, or because the treatment service was not covered by a particular insurance plan. Verifying the eligibility of the patient allows the billing staff to analyze insurance coverage for clean claims and avoid re-submissions or rejection. 

Verifying Insurance Eligibility

Studies indicate that claims worth millions are denied every year due to expired eligibility, or because the treatment service was not covered by a particular insurance plan. Verifying the eligibility of the patient allows the billing staff to analyze insurance coverage for clean claims and avoid re-submissions or rejection. 

Why ScribeEMR

Insurance Eligibility

Streamline Insurance Processors & Reimbursements

ScribeEMR provides highly qualified staff to research relevant information regarding the insurance coverage of a patient. Insurance eligibility verification is done well in advance of the clinical visit. Eligibility is double-checked with the insurance provider, and discrepancies, if any, are conveyed to the patient and clinical team.

Insurance Eligibility

Streamline Insurance Processors & Reimbursements

ScribeEMR provides highly qualified staff to research relevant information regarding the insurance coverage of a patient. Insurance eligibility verification is done well in advance of the clinical visit. Eligibility is double-checked with the insurance provider, and discrepancies, if any, are conveyed to the patient and clinical team.

Insurance Eligibility

Streamline Insurance Processors & Reimbursements

ScribeEMR provides highly qualified staff to research relevant information regarding the insurance coverage of a patient. Insurance eligibility verification is done well in advance of the clinical visit. Eligibility is double-checked with the insurance provider, and discrepancies, if any, are conveyed to the patient and clinical team.

Improved A/R Cycle

With robust eligibility verification process offered by ScribeEMR, patient flow is streamlined and A/R is optimized.

Automated Eligibility Verification

Our professionals are able to assess automated eligibility verification using advanced RPA tools, thus streamlining processes.

Improved A/R Cycle

With robust eligibility verification process offered by ScribeEMR, patient flow is streamlined and A/R is optimized.

Automated Eligibility Verification

Our professionals are able to assess automated eligibility verification using advanced RPA tools, thus streamlining processes.

Least Rejection/Denial Rate

Well-trained experts gather every useful information by paying attention to the details, ensuring extraordinarily low rate of insurance denials

Establish Trusted Contact

Expert professionals of ScribeEMR work closely with patients and the insurance providers via the optimum channels to secure updated insurance information and obtain pre-authorization.

Least Rejection/Denial Rate

Well-trained experts gather every useful information by paying attention to the details, ensuring extraordinarily low rate of insurance denials

Establish Trusted Contact

Expert professionals of ScribeEMR work closely with patients and the insurance providers via the optimum channels to secure updated insurance information and obtain pre-authorization.

Efficient Workflow

Insurance eligibility verification is accomplished well before the clinical visit by obtaining information via patient scheduling systems, insurance web portals and telephonic discussion.

Maintain Comprehensive Records

Records of primary & secondary coverage are maintained, including member ID, group ID, coverage period, co-pay, deductible and co-insurance information, and benefit information

Efficient Workflow

Insurance eligibility verification is accomplished well before the clinical visit by obtaining information via patient scheduling systems, insurance web portals and telephonic discussion.

Maintain Comprehensive Records

Records of primary & secondary coverage are maintained, including member ID, group ID, coverage period, co-pay, deductible and co-insurance information, and benefit information

Utmost Adherence to Confidentiality

We respect and maintain the sanctity of patient-provider confidentiality. No information is ever given out to any third party without a patient’s written consent.

HIPAA Compliant

We comply with all HIPAA rules. Personal portable electronic devices are prohibited inside the working area that has limited access to the Internet. All coordinators attend HIPAA training through our Learning Management System.

Utmost Adherence to Confidentiality

We respect and maintain the sanctity of patient-provider confidentiality. No information is ever given out to any third party without a patient’s written consent.

HIPAA Compliant

We comply with all HIPAA rules. Personal portable electronic devices are prohibited inside the working area that has limited access to the Internet. All coordinators attend HIPAA training through our Learning Management System.

Resources For You

Resources For You

CLIENT TESTIMONIALS

“I am amazed at how quickly the providers are now closing charts. I will report that last week, our providers were able to successfully lock 99% of their encounters in a timely fashion, most definitely a first for our organization and is directly related to ScribeEMR’s ability to assist our once struggling providers.”

John Sivon – Interim CFO
Langley Health

“I am very satisfied with ScribeEMR & the services they have offered me. As someone who has been involved in patient care for many years, I know the challenges of clinical documentation. With ScribeEMR, I do not need to worry about spending any time looking through a patient’s chart but can give my sole attention on that person, where it truly belongs. My scribe is very good at capturing all my clinical encounters in an appropriate fashion as well as doing other non-clinical tasks so that I am able to spend more quality time with my family.”

Harold Cates Jr. MD, Orthopedic Surgeon
Tennessee Orthopaedic Clinics

“I am delighted to share my experience with the services provided by SrcibeEMR. Reduced chart work, a more focused mind, greater patient satisfaction and being home at a reasonable time: these are just some of the many benefits of using ScribeEMR’s virtual scribing services. I have been a physician for over 20 years. When ScibeEMR reached out to me with their services, I was quick to make use of the opportunity to do less paperwork and give my undivided attention to my patients, not having to worry about documentation. My scribe, Arul Stephen, has been an absolute joy to work with, and he has proven to be fully skilled in producing comprehensive patient charts to my satisfaction. Since he handles everything including typing visit notes, entering orders for diagnostic tests and medications and referrals to specialists, I am able to see more patients without compromising quality of care. I would highly recommend ScribeEMR to other providers because this company genuinely seeks to improve physicians lives and ultimately, patient care.”

Dr. Rekha Sundar
Lowell General Hospital (Chelmsford Internal Medicine), MA

“ScribeEMR’s Virtual Medical Scribing service that has facilitated my professional life considerably. My scribe has been instrumental in charting all my clinical encounters during the patient visit, so I can offer 100% of my attention to my patient.

Working in Obstetrics & Gynaecology is challenging enough from a clinical perspective so having to do non-clinical tasks can be even more daunting. I am so fortunate to be using their services and I encourage all providers to do the same. “

Mary Jo Montanarella - MD
Dr. Montanarella & Associates, PA
“I want to endorse and make public how happy I am to have ScribeEMR provide my scribe. It is so nice to be able to sit facetoface with my patients and not worry about taking down all the details.  My patients especially like having my attention and not having an actual body of another person in the 
roommaking them feel awkward.   
My scribe is doing very well with the charting and my preferences.  I am getting many more of my charts done by the end of the day and for that I am so grateful!   He is so polite sending messages to my staff.  My ScribeEMR scribe is very helpful in the room reminding me of things, finding addresses, finding ICD-10 codes, and correcting my spelling!  I feel I have found a great match and I am lookingforward to having a long-term relationship working with him.
Dr. Cristy Elving - M.D.
Jersey Community Hospital, Illinois

“I am beyond thrilled with ScribeEMR! Our scribe is reliable, intelligent, well-spoken, always helpful and always kind. She was able to learn my methodology of note writing, preferences for wording in all areas of a soap note, and even billing and coding – in record time. The patients in my office have gotten to know her voice and love to say hello. Their parents are also very impressed with our use of technology. What I don’t think our scribe fully understands is that the time she saves me every day. ScribeEMR has given me back hours per week of quality time with my children and family. That is of immeasurable value to me! So grateful for ScribeEMR!” 

Dr. Ashley Bayer - M.D. (Pediatrics Specialist)
Palm Pediatrics, Coral Springs, Florida