Insurance Verification Services

Is inaccurate or incomplete insurance information causing revenue leakages in your medical practice? Manually sifting through multiple documents and cross-checking the information with the insurer and patients is a tedious process. Any error in the same causes claim denials or delayed payments. Tap into our expertise for prompt verification of benefits and accurately determine allowable reimbursements from patients or insurance. We tailor insurance verification services to boost your claim processing workflows, enabling improved financial performance.

24+

Years of Experience

13+

Industry Verticals

5000+

Experienced Professionals

StripInsurance Verification Services

Outsource Insurance Verification Services to the Expert

We have over 24 years of experience in managing medical insurance eligibility verification for healthcare specialties worldwide. This includes cardiology, oncology, neurology, emergency medicine, and more. We assist healthcare practices and organizations in streamlining and optimizing the often complex and time-consuming processes of verifying patient insurance coverage. Our approach is founded on our carefully selected team of professionals proficient in the latest verification procedures, advanced tools, and global best practices.

Our service relies on a methodical process to ensure accurate insurance verification. We gather comprehensive patient information, including demographics, insurance details, and relevant medical history. The next step is meticulous verification of the extent of a patient’s insurance coverage eligibility to minimize the chances of claim denials. This involves confirming copayments, deductibles, coinsurance, referrals, and any pre-authorizations required before starting any medical procedure. We scrutinize for discrepancies and document verification outcomes.

A multi-tiered approach guarantees error-free processing.  Experts review applications for mistakes, validate information, and quality checks ensure accuracy.  This comprehensive approach catches and corrects errors, delivering ready-to-submit applications.

Our Insurance Verification Outsourcing Services Process

  • Gather Patient Information

    First, we collect patient details, including demographics, insurance ID, policyholder information, subscriber information, and coverage specifics.
  • Contact Insurance Providers

    Next, our team communicates with insurance companies (in-network and out-of-network) to verify coverage details, eligibility, copays, deductibles, and pre-authorizations.
  • Analyze Coverage

    After verification, we assess the coordination of benefits (COB) to detect the extent of coverage for medical services, ensuring clarity on covered treatments and any limitations or exclusions.
  • Verify Authorization Requirements

    Next, we confirm if prior authorization is necessary for specific procedures or treatments and receive authorization numbers for approved services, streamlining the approval process.
  • Document Findings

    Finally, we precisely record all verified information, maintaining accurate documentation for reference.

Our Comprehensive Insurance Verification Services

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  • Patient Information Collection
  • Contacting the Insurance Provider
  • Verification of Benefits
  • Obtaining Prior Authorization
  • Documentation and Record Keeping
  • Updating the Medical Billing System

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The Invensis Advantage for Insurance Verification Outsourcing Services

Advanced Verification Procedures

We deploy advanced data validation tools and combine them with manual verification to guarantee accuracy in extracting and validating crucial patient data points, such as member IDs, group numbers, policy numbers, effective dates, and expiration dates.

Error Reduction Mechanisms

Our validation process involves cross-checking extracted information against predefined templates and payer requirements, flag inconsistencies for manual review, prompt corrective actions, followed by a second round of review for accuracy.

Seamless Workflow Management

We bank on systematic task assignment, status tracking, and escalation mechanisms to ensure that each verification request progresses smoothly through various stages, from initial intake to final validation.

Scalability for Fluctuating Workloads

We bank on a flexible staffing model and strategic resource allocation to scale our verification services up or down based on client requirements and guarantee seamlessness to meet seasonal or other variations in verification needs.

Customizable Reporting Features

Our experts offer personalized reporting dashboards to provide real-time visibility into key performance indicators, verification trends, and actionable insights, and mitigate risks of delay and denials from insurance payers.

Enhanced Data Security Measures

We adhere strictly to HIPAA compliance standards and other security protocols (encryption protocols, access controls, intrusion detection systems, etc.) to ensure the confidentiality and integrity of patient data.

Step-by-step process for Insurance Verification Services
Step-by-step process for Insurance Verification Services

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Invensis - The Most Trusted Insurance Verification Services Company

Invensis is a seasoned medical insurance eligibility verification services provider assisting healthcare practices of all types and sizes. For over two decades, we've delivered every facet of insurance verification, from meticulous data entry to thorough verification checks and seamless coordination with insurance providers. Our solutions have consistently yielded remarkable outcomes, including a reduction of verification turnaround time by almost 50%, from an average of 48 hours to just 26-28 hours. Additionally, we have achieved up to 95% reduction in claim discrepancies resulting in a close to 35% decrease in claims delays and denials. With these achievements, we helped our clients with improved revenue cycles and financial stability.

24

Years of
Experience

10+

Industry
Verticals

5000+

Experienced
Professionals

ISO: 9001:2015 Certified Company
ISO  27001:2013 Certified Company
HIPPA-Complience

98%

Accurate Claim
submissions

<0.01%

Error
Rate

95%

Reduction in
Claim Discrepancies

35%

Decrease in Claim
Delays & Denials

50%

Reduction in
Verification TAT

Finance and Accounting Tools We Specialize In

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Services

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What Our Customers Say

We have been working with Invensis for the past two years, and they have helped us overcome many revenue cycle management challenges. The team often walks the extra mile to ensure that our needs are met.

Christina Sussex
Leading Healthcare Provider in France

Invensis has been our revenue cycle management healthcare outsourcing partner for the past 5 years. They have always delivered on their commitments, whether it is meeting our Service Level Agreement (SLA) or improving our billing process.

Christopher Middleton
Leading Healthcare Company in US

Invensis has been a great partner providing quality medical coding and billing services. The team is extremely responsive to every query we pose, and the turn-around time for deliverables is always as committed.

Chris Lauren
Leading Healthcare Company in US

What Our Customers Say

We are thrilled with the impeccable chiropractic billing services offered by Invensis. Their comprehensive knowledge of the industry, prompt claims processing, and meticulous attention to detail have immensely benefited our healthcare reimbursements. Highly commendable!

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John Davis
Leading Healthcare Company in the UK.

We are extremely pleased with the exceptional hospital billing services provided by Invensis. Their expertise and attention to detail in Medicare billing and compliance in medical billing have streamlined our revenue cycle and improved financial performance.

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Emily Johnson
Leading Hospital in the US.

Invensis has been an invaluable partner for our organization, providing exceptional ASC billing services. Their expertise and dedication have significantly improved our revenue cycle management. Highly recommended!

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Sarah Smith
Leading Healthcare Provider in Italy.

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Contact Information

You can reach us at:

Call us
+1 (302)-261-9036
sales@invensis.net
Locate Us
Invensis Inc. 2785 Rockbrook Dr STE 204 Lewisville, TX 75067

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