Maximize insurance claim reimbursements, avoid back-end denials, and eliminate administrative burdens.

Verifying a patient's insurance coverage and benefits to determine the cost of medical treatment can be a challenge due to the complexity of insurance systems and inconsistent data. Checking the patient's insurance policy, copay, deductible, and coverage limitations can often lead to staffing issues, high call volumes, and inaccurate determinations. However, identifying patient responsibility in advance is crucial for managing receivables and preventing issues with delayed payments, reworks, patient satisfaction, errors, and non-payment. AGS Health provides insurance verification services to free up staff to focus on performing other patient access services to deliver a better patient experience. Our services include insurance validation prior to appointments, determination of in and out-of-network benefits, and support for the No Surprises Act billing estimates for out-of-network and uninsured individuals.

Identify active third-party insurance coverage and benefits to reduce claim submission errors and back-end denials.

• Confirm insurance coverage and benefits
• Dual- and third-party insurance eligibility
• Out-of-state verification
• Direct connection with payer portals

Benefits

Reduce Delays and Avoid Denials Performing verification checks before appointments ensures accurate, current patient insurance information, reducing errors and denials during claims processing and increasing billing accuracy.

Improved Financial Stability An optimized verification process with transparent billing streamlines the revenue cycle, resulting in prompt reimbursement for healthcare services and improving cash flow and overall financial health.

Effective Resource Allocation Automating processes and implementing efficient management reduces staff workload, increasing productivity and supports patient education around financial responsibility to minimize billing disputes and ensure regulatory compliance.