Slide 1
Eligibility and Benefits Verification Services
Confirm eligibility and benefits, improve patient experience, and speed to care while improving collections.
Contact us

Comprehensive Eligibility and Benefits
Verification Services

Benefit verification service appears to be crucial in terms of providing covered services for your patients. At MTN, we have a team of qualified insurance verifiers to provide customized services to our clients. They complete their assigned jobs in a timely manner and with effectiveness so that there is no delay in obtaining desired reimbursement.

Our proven ability to quickly respond to clients’ benefit verification service requirements has helped us to stand out among our all competitors.

Impact of Ineffective Eligibility and Benefits Verification:

When eligibility and benefits verification is not conducted effectively, it can lead to several negative outcomes:

  1. Increased Claim Denials: Unverified eligibility often results in denied claims because services are rendered to ineligible patients.

  2. Delayed Payments: Payment processes are slowed down, affecting the financial health of healthcare providers.

  3. Additional Rework: Inaccurate or incomplete verification necessitates extra administrative effort to rectify issues.

  4. Patient Care Delays: Patients may face delays in accessing needed care due to verification issues.

  5. Decreased Patient Satisfaction: Inadequate verification can lead to unexpected costs for patients, reducing their satisfaction

Our Approach to Eligibility and Benefits Verification:

  1. Patient Schedule Integration: Directly receiving patient schedules from the healthcare provider’s office, be it a hospital or a clinic, helps in planning and organizing the verification process efficiently.

  2. Accurate Demographic Information Entry: Our team ensures precise entry of patient demographic details, which is fundamental in verifying eligibility and benefits correctly.

  3. Comprehensive Coverage Verification and Benefit Analysis:

    • Navigating Insurance Complexities: We handle various complexities like dual eligibility, third-party eligibility, and out-of-state verifications.

    • In-Network and Out-of-Network Benefits: Determining whether the services are covered under in-network or out-of-network benefits, providing clarity on patient liability.

  4. System Updates with Payer Details: After verifying eligibility, we update the hospital’s or practice’s revenue cycle system with all relevant payer details. This ensures that all the information is current and accurate.