Verification of Benefits

Getting reimbursed accurately from insurance companies starts with having clarity on a patient’s coverage details. Our verification of benefits (VoB) service provides real-time insight into patient eligibility, deductibles, co-insurance, co-pays, and more.

How it Works

Our team utilizes top eligibility verification software integrated directly into your practice management or EHR system. When a patient schedules an appointment, we automatically run their insurance to check:
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Active coverage status
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Type of plan (HMO, PPO, etc.)
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Pre-authorization requirements
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Co-pays and co-insurance terms
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Accumulators like deductibles and out-of-pocket maximums

Within seconds, exact patient responsibility estimates are calculated, and any red flags are identified. You’ll know if pre-certification is needed for scheduled procedures or if the patient has unpaid deductibles. This allows you to collect estimated payments upfront and avoid leaving money on the table

We also run regular VoB checks up until the date of service. Any eligibility changes that could impact reimbursement or patient collections are proactively flagged.

Key Benefits

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Reduce claim denials and write-offs

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Lower accounts receivable cycles

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Prevent revenue leakage from outdated eligibility data

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Free staff time from manual benefits checking

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Enable patient financial engagement from day one

Our dedicated VoB team handles this administrative task so your staff can better focus on patient care and revenue cycle KPIs. Accurate real-time verification minimizes collections issues down the road.

Docmatics helps maximize reimbursement with optimized workflows. Contact us to learn more about verification of benefits and other revenue cycle services!