As reported by AMA Council on Medical Service, 42 percent of physicians surveyed reported that over ten percent of their claims are retrospectively denied by managed care plans.  For more than one in eight physicians surveyed, denials represented 20 percent or more of their claims, while 39 percent said more than ten percent of their claims were down-coded. These denials resulted in a monetary loss for almost three-quarters of the responding physicians, with 55 percent reporting losses of more than $2,500 in the previous 12 months. These figures indicate that patient eligibility verification should be an integral part of the administrative and financial aspects your practice’s workflow.

Our online insurance eligibility checking system offers the capability to verify the patient's current insurance eligibility for healthcare benefits before he or she arrives at the point-of-care by linking the eligibility check with the appointment scheduler.

Inquiries can be submitted in real-time through Medisoft or Lytec in batch or individual mode and the results are received within seconds. This state-of-the-art software eliminates the need for paper transactions while providing an accurate determination of the patient's co-pay and deductibles, clarifying the patient's coverage expectations and reducing the risk of uncollected balances.


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