Eligibility & VOB
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Eligibility & VOB Solutions
The number top reason for insurance claim rejections and denials is because of invalid coverage and out-of-date information. Insurance benefits are complicated enough for professionals that work in the industry every day let alone patients who rarely are exposed to it.
You need to set the proper expectations for payment at the very beginning of treatment so there are no surprises or disappointments. To do that you need accurate, current and detailed insurance eligibility and verification of benefits information quickly.
What Can You Expect?
REAL-TIME INSURANCE ELIGIBILITY:
Need to know right now if a patient’s insurance coverage is active? Integrate our API into your current EMR/EHR or Billing/Practice Management system for full functionality with your own environment. Or use our online portal to quickly connect to all insurance carriers in one convenient place to check for active insurance coverage, deductible amounts, copays and more.
BATCH FILE ELIGIBILITY:
Need to verify coverage for patients on your schedule? NCDS can process your ANSI 270/271 request or import a custom file to obtain insurance benefits. Simply upload your files to our secure web portal and we will return it complete with insurance plan details for each patient record in machine or human readable format.
COMPLETE VERIFICATION OF BENEFITS (VOB):
Need fine level coverage information beyond the basics? It’s time consuming, tedious and frustrating if you have to be put on hold by the insurance carriers for minutes or hours before you can get it. OUTSOURCE your detailed VOB requests to NCDS to get customized coverage details by specific CPT and ICD10 code along with deductibles, copays, treatment limits, etc so you know exactly what to expect for insurance reimbursement and can proactively advise the patient of their responsibility.
PRE-AUTHORIZATION / PRE-CERTIFICATION:
Need to reduce the burden of administrative time for you and your staff?? OUTSOURCE your prior approval process to NCDS. We will confirm coverage for you, get the appropriate approval and authorization number needed for claim submissions to let you concentrate on clinical care headache free!
Nothing slips through the cracks, ever.
Cut The Clutter
Let our experts streamline your billing, and remove the frustration of traditional claim filing and receivables management.
Nothing Falls Through The Cracks
We average payment 22 days faster with -2.2% less denials than our state peers & 10 days faster with -1.5% less denials than our peers across the nation.
Automate Your Revenue Stream
As much as 98.85% of insurance claims are sent electronically with 93.59% returned via electronic remit/electronic fund transfer*, optimizing both time and cash-flow for you.
Ahead Of The Curve
Our industry connections give us early insight into healthcare system changes, government regulatory updates and access to insurance carriers and advocacy efforts.
Our expert staff of Certified Healthcare Billing & Management Executives will advise you personally.
Industry insight that keeps you ahead of the curve with system changes and updates
The NCDS Treatment
Your experience and success is of the utmost importance to our team.
Support – You Call, we answer, 24/7. Speak with our live representatives at our Ohio office on the phone whenever you need asssistance.
Relationship – We get to know you and your practice. Through personal meetings and consultations at your office, our process is built around you and how you work.
Understanding – We help you understand your billing information. Get real advice from data in your reports, not meaningless statistics, stacks of paper and endless spreadsheets.