At Medbill Ninja, we understand the importance of eligibility verification for medical billing. Our Eligibility Verification service is designed to ensure that our clients receive accurate and timely reimbursement for medical services. We provide comprehensive eligibility verification services that cover patient eligibility, benefits verification, pre-authorization requirements, verification of deductibles and co-pays, and coordination of benefits verification. Our team of experts is committed to helping our clients maximize revenue and minimize claim rejections by verifying patient eligibility and insurance coverage before submitting claims.

• Patient Eligibility Verification: We verify the patient's eligibility for medical services by checking the patient's insurance coverage, verifying their personal information, and confirming their medical history. This ensures that the patient's insurance information is accurate and up-to-date, and that the medical services being provided are eligible for coverage.
• Pre-authorization Request Preparation: We prepare and submit pre-authorization requests on behalf of healthcare providers to ensure that patients receive the necessary treatments and services. Our team follows up with payers to ensure that pre-authorizations are approved in a timely manner.
• Insurance Coverage Verification: We verify insurance coverage for medical services and procedures to ensure that patients receive the appropriate coverage. Our team works closely with healthcare providers to ensure that insurance coverage is adequate and that patients are not burdened with unexpected costs.
• Communication with Providers and Payers: We facilitate communication between healthcare providers and payers to ensure that pre-authorizations are processed in a timely and efficient manner. Our team works closely with both parties to ensure that any issues or concerns are addressed promptly.
• Pre-authorization Management and Tracking: We manage and track pre-authorizations to ensure that patients receive the necessary treatments and services without delay. Our team works closely with healthcare providers to ensure that pre-authorizations are managed and tracked effectively, minimizing the risk of claim denials.