Unlock Your Eligibility,
Maximize Your Benefits

Unlock Your Eligibility, Maximize Your Benefits

Our eligibility and benefits verification services guarantee the highest possible payout. We help you take advantage of healthcare and insurance claims, so you can spend less time on administrative details and more on improving your financial situation.

Eligibility Verification and Prior Authorization

Gather patient information for verification.

Verify coverage, benefits, and limitations.

Obtain the documents for prior authorization.

Submit prior requests to the insurance company.

Monitor and follow up on the authorization status.

Benefits

Medical Billing Wholesalers’ eligibility and benefits verification and prior authorization services offer:

Save over 40% in operational costs

In-house verification can be costly: Our team members based in India pick up the work queues and process each request diligently.

Improve speed to care delivery: Efficient prior authorization processing means that the patient can be scheduled for care reviews with the physicians timely.

Reduce Claim Denials: Reduction in eligibility verification and Prior authorization-related denials ensures that there is a lesser number of claim denials and cash flow is accelerated.

Reduce Bad Debt, Increase Cash Collection: Upfront determination of Patient responsibility for payments reduces patient debts and improves POS collections, besides improving Patient Satisfaction.

Expertise: We work with all the major commercial and government healthcare payers including Blue Cross Blue Shield (BCBS), Aetna, Humana, United Healthcare, and others.

Focus on growing your business: As we take over the entire process at less than a third of the costs, you can now refocus your employees on growing your business.

Verification of insurance coverage and eligibility

According to industry sources, it has been found that 75% of claim denials occur due to patients being ineligible for services billed to their insurer by the healthcare provider.
This often happens when a patient's policy has been terminated or modified.
Sepiolite, a trusted provider, offers solutions to help practices optimize their revenue cycle by addressing the issue of eligibility.

Their services help practices decrease the accounts receivable cycle and increase revenue.
Neglecting eligibility verification leads to delayed payments, rework, decreased patient satisfaction, increased errors, and nonpayment.
Sepiolite provides a remotely hosted Centralized Eligibility Unit for Hospitals and Faculty Practice Plans.
Their solution combines staff, technology, management, and expertise to deliver high-quality and cost-effective patient insurance eligibility services.
Sepiolite's services can improve account receivable cycles, increase the number of clean claims, and boost cash collections.
Their eligibility verification services include receiving schedules, verifying coverage with primary and secondary payers, contacting patients for information, and providing detailed eligibility and benefits information.
Optional services like obtaining pre-authorization numbers, referrals, patient demographic updates, Medicaid enrollment, etc., are available.

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