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Learn how a pVerifyu2019s patient estimation solution not only offers your patientsu2019 much-appreciated transparency into the cost of a prospective procedure and it also gives you an advantage when it comes to getting paid, faster. For any updates check https://www.pverify.com/patient-estimator/
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The key roles of understanding of insurance policy for easy Patient Verification
Understand the Health Insurance Policy • Identify the Covered Person - Was the recipient of the provider’s services covered by the health insurance policy? • Know Your Policy Details - What is your insurance policy and group number? Was your policy in effect at the time the services were provided?
Confirm That the Procedure Was Covered and Approved - Was the procedure directly or indirectly covered in the policy terms? Was prior authorization or a second opinion required? If so, did you meet the requirements?
Any Co-Payments Due. What is your deductible? How much is your Copay? Do you have evidence of your payment? Policy holders often forget there is usually a shared payment responsibility until policy maximums are met.
Understand the Appeal Procedure Detailed in the Policy. Your health insurance policy has a complete section describing how to question a denied claim, often with detailed forms, phone numbers, and websites.
