Eligibility Verification

Services For Ensuring Dental Insurance Included In Our Area Of Expertise Is

• 1.

  Document Verification

  Revesolv, as one of the industry’s leading dental insurance verification services company in United States, uses a checklist-based technique to finish the entire process of verifying a patient’s documents. We begin by gathering all of the data we’ll need to create an invoice. Following that, the documents received are compared to a list of all required documents. This guarantees that all documents are properly authenticated in accordance with the dental insurance company’s criteria. To avoid a rerun of the process and, eventually, a delayed reimbursement for the dental care company, our team of professionals maintains utmost accuracy.

• 2.

  Verification Of A Patient’s Dental Insurance

  We take extra precautions to ensure that the dental insurance coverage information in the documents provided by the patients is correct. We compare the information to the current coverage scopes of the insurers. We obtain all of the necessary information by contacting the dental insurance verification services directly or visiting their website. We double-check essential details including the effective date of dental insurance coverage, the date of policy termination, co-payment benefits, and co-insurance amount, among others. We keep track of important facts including the diagnosis and pkg by dental insurance.

• 3.

  Patient Communication

  Our dental insurance verification services use a variety of communication modes to keep consumers informed about their out-of-pocket payments. This is to decrease the likelihood of unexpected fees, which can lead to a disgruntled consumer. Our team teaches dental caregivers about deductibles, co-insurance, co-payments, and the maximum out-of-pocket charges. This understanding aids them in comprehending the deductibles that apply to a patient’s initial appointment. We contact patients as soon as possible to collect any missing information or information that differs from the insurer’s coverage data.

• 4.

  Claim Denial Appeal

  As a reputable provider of dental insurance verification services, we begin by gathering all of the relevant and detailed information in the claim. To reduce the chances of a denial, the claim should include a clear diagnosis, service narrative, and intraoral photographs. Our claim appeals are based on the various appeal formats utilized by various insurance companies. We also look over all of the co-pay information and diagnostic data to determine the procedure’s medical necessity and style our claim refusal appeal accordingly.

• 5.

  Final Report Submission

  Our final report includes a detailed breakdown of all patient benefits as well as other pertinent information such as the dental insurance coverage member’s ID, group ID, validity, and expiration dates. This final report will essentially include any pre-authorizations that may be required to ensure that a dental insurance policy can fund claim reimbursements for a dental caregiver.

• 6.

  Business Process Improvisations

  Our goal as a forward-thinking dental insurance verification services provider is to simplify and streamline the entire dental care billing and verification process. Before any pre-booked, walk-in, or same-day visits, dental caregivers can access real-time information regarding a patient’s eligibility for dental insurance coverage thanks to our technology and experience. Our team of professionals performs code-specific verification to offer previous information on deductibles, co-payments, benefit limitations, and code-specific perks.