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Eligibility

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The process of verifying patient eligibility and benefits can be a time consuming process for clinics and hospitals, no matter how many patients there may be. It is important that this process be done in a timely and efficient manner. Meticulous eligibility and benefit verification helps in reducing bill claim denials due to incorrect billing, which can result in significant loss of revenue for healthcare providers.

We verify a wide range of data:

  • Effective date and coverage details
  • Individual patient eligibility
  • Type of plan
  • Payable benefits
  • Co-pay
  • Deductibles
  • Co-insurance
  • Claims mailing address
  • Referrals & pre-authorizations
  • Pre-existing clause
  • Life time maximum
  • Other related information

We can take care of all your insurance verification needs and can provide you before the patient actually visits the Doctor’s office, thus minimizing the denials and better collection at first attempt.

Our Healthcare RCM Solutions

Prohealth offers medical billing services, focusing on every aspect of the medical billing / patient cycle. We strive to achieve the best possible timely reimbursement for our clients, as the faster one can prepare a bill, the faster and clean the claims the sooner the reimbursement. With this in mind we work 24x7 and have dedicated billers and billing analysts to work while you sleep.

Provider Enrollment /Credentialing
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Medical Coding
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Patient Demographics
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Eligibility
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Charge Entry & Claims Submission
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Pre-Certification
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Account Receivable
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  • Noida Electronic City sector62 Iconic Tower 6th Floor Office No.609

  • Phone:(301)-358-0015
    Fax: 301-358-6111

  • Email: admin@prohealthbusiness

  • www.prohealthbusiness.com

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  • Home
  • About Us
  • Services
  • Careers
  • Compliance
  • Contact Us

RCM Solutions

  • Provider Enrollment /Credentialing
  • Medical Coding
  • Patient Demographics
  • Eligibility
  • Charge Entry & Claims Submission
  • Pre-Certification
  • Account Receivable

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