Missing or incorrect insurance information is the number one source of denials and delayed/lost revenue for healthcare organizations today. Utilizing sophisticated proprietary technology and processes that are blended with high quality staff to ensure excellent outcomes. Affiliated’s Front End Insurance Discovery Program can help ease the burden of denials for timely filing, no authorizations and excessive bad debt write offs due to not discovering billable insurance in time

Affiliated’s Insurance Discovery Program offers:

• Convert Self-Pay Patient Accounts into Verified Billable Coverage
• Uncover Insurance on Self-Pay accounts Prior to Vendor Referral
• Screen for 3rd Party Insurance on Charity Care Approved Accounts
• Perform Batch Insurance Verification and Receive Billable Coverage Information Prior to Billing
• Reduce the number of accounts in Self-Pay
• Utilize Proprietary Technology to Uncover Potential Insurance Opportunities
• Insurance validation Process Through Our Support Office
• Update Client’s computer system with updated insurance information and prepare claims for electronic submission

Outcomes:

• Validated and billable insurance information on all registrations prior to billing
• Reduction of denials for timely filing, non-covered services, or Coordination of benefits
• Increase cash
• Lower expense to follow-up on accounts
• Lower expense paid to 3rd Party vendors by reducing number of claims referred due to inappropriate denials
• Increase internal billing and insurance follow-up staff efficiency by reducing unnecessary billing and follow-up efforts
• Lower days in receivable by accelerating cash by 45-60 days
• Reduce referrals to Bad-Debt
• Increase visibility on staffing errors to allow for targeted training
• Improve, tack and trend Key Performance indicators & Metrics