Eligibility & Benefits

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FAQ,s

Frequently Asked Questions

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What Makes Revenue Cycle Management Services Different?

OPTIMED Eligibility and Benefits services include :

  • You can access detailed data directly within your electronic health record system.
  • We Confirm if services are covered based on specific CPT codes.
  • We Identify if prior authorization is necessary for certain procedures.
  • Its our responsibility to ensure patients receive the maximum benefits available under their plans.
  • Our team clarify what patients are accountable for regarding deductibles, copays, and coinsurance.
  • We align with your protocols for checking eligibility and benefit details for patients.
  • We regularly update your team with the knowledge to collect necessary payments at the time of service.
  • Enhance your practice's collection rates by improving patient understanding and preparation.

Benefits of Working with OPTIMED

Medical professional reviewing patient records
1

KNOWLEDGE AND EXPERTISE

Our team of professionals has extensive training and expertise determining the complexities of benefits, coverage, and insurance policies. We are able to validate a patient's eligibility and benefits in a timely and accurate manner, which minimises mistakes and denied claims.

2

CUTTING-EDGE TECHNOLOGY

We boost productivity and reduce administrative costs by expediting theverification process withcutting-edgetechnology. We can automate the verification procedure thanks to our technology, which willsave your medicalpractice time and money.

3

COST REDUCTION

Your medical practice may see cost savings by contractingwith us to handle eligibility and benefits verification. You may save labour expenses and eliminate the need for pricey software and technology by doing away with the requirement for internal workers.

4

ENHANCED CASH FLOW

By lowering the quantity of claim denials and rejections, our eligibilityand benefits verification solution might assist in enhancing cash flow. It is less likely that patients' insurancewill be denied or underpaid if we confirm the facts up front.

Eligibility & Benefits

Quick, accurate insurance checks to reduce denials.