Insurance Verification & Pre-Authorization Services
(Patient-Facing & Pre-Claim)
PATEL RCM ANALYTICS Solutions
Secure Patient Coverage and Prevent Claim Denials Before They Happen
The financial viability of every patient encounter starts with a simple question: “Are they covered?” Patel RCM Analytics eliminates the guesswork with comprehensive insurance verification and pre-certification services, ensuring you provide care with confidence and get paid for every service.
Our End-to-End EVBV & Pre-Certification Process
We handle the entire process, seamlessly integrating with your workflow to secure your revenue from the start.
- Real-Time Eligibility Checks: Instant verification of patient insurance status and coverage active on the date of service.
- Detailed Benefits Verification: In-depth investigation of copays, deductibles, coinsurance, out-of-pocket limits, and covered vs. non-covered services.
- Pre-Authorization & Pre-Certification Management: Our team gathers necessary clinical documentation, submits complete requests to payers, and performs diligent follow-up until an approval is secured.
- Advance Patient Responsibility Estimation: Providing patients with clear, transparent cost estimates before their visit to streamline collections and improve satisfaction.
The Patel RCM Advantage: Why Choose Our Verification Services?
- Reduce Denials by up to 30%: Eliminate rejections for issues like "non-covered service" or "lack of pre-authorization."
- Boost Patient Satisfaction: Transparent cost conversations prevent surprise bills.
- Free Up Staff Time: Offload this time-consuming task from your administrative team.
- Expert Payer Navigation: We understand the specific requirements of dozens of insurance providers.
Ready to Ensure Every Patient is Verified and Approved?
Stop leaving revenue on the table due to front-end errors. Let our experts secure your financial foundation.