Insurance Verification Services

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Insurance Eligibility Verification Services

Accurate insurance verification is the first and most critical step in preventing claim denials and payment delays. At Medici Medical Consultants, we offer reliable and timely eligibility and benefits verification services to ensure that patients are covered and services are billable before the visit takes place.

Our team verifies coverage details directly with insurance payers, including plan type, effective dates, co-pays, deductibles, prior authorization requirements, and benefit limitations—giving your front office and billing team the information they need to avoid costly errors in claims submission and enhance accounts receivable services.

Our Eligibility Services Include:

- Real-time or advanced verification of patient insurance coverage

- Detailed review of plan benefits, including co-pays, deductibles, and out-of-pocket maximums

- Immediate flagging of coverage issues to front desk or billing staff

- Documentation of verified information for clean claim submission, aiding in efficient payment posting services

By confirming insurance eligibility upfront, we help your practice reduce denials, minimize patient billing confusion, and maintain a smooth revenue cycle.

Accurate charge entry, exactly as documented and coded with all applicable CPT codes, ICD10 codes, and modifiers, is the foundation of effective billing. Our accounts receivable services work closely with providers and coders to ensure all charges are entered based on proper documentation and coding guidelines. Each entry is double-checked for accuracy, payer-specific requirements, and compliance to reduce claim rejections and support faster reimbursement. Submitting clean claims from the start through our claims submission process minimizes denials and accelerates reimbursement.

Our charge entry services include:

- Verifying provider documentation and coding

- Entering charges into your billing system accurately and promptly

- Applying appropriate modifiers and linking diagnosis codes

- Identifying and resolving missing or incomplete charge data

- Ensuring alignment with payer policies and billing rules

With our meticulous charge entry process and payment posting services, you can trust that your claims are built on a solid, error-free foundation—maximizing revenue and minimizing delays.

Timely submission of claims to insurance payers is critical for maintaining a healthy and consistent cash flow for your practice. Most insurers have strict deadlines for claims submission—missing these windows can result in denied or reduced payments that are difficult, if not impossible, to recover.

Prompt claims submission also:

- Speeds up reimbursement, reducing delays in revenue.

- Minimizes the risk of timely filing denials, which can lead to lost income.

- Improves overall revenue cycle efficiency, helping you track and manage your financial performance more accurately.

- Demonstrates compliance and professionalism, enhancing your relationship with payers.

Our accounts receivable services ensure that every claim is submitted quickly and correctly, helping you avoid costly setbacks and keep your revenue on track. Additionally, our payment posting services streamline the process, allowing for more effective management of your financial performance.

Efficient accounts receivable services are essential for maintaining a healthy cash flow in your practice. At Medici Medical Consultants, we specialize in proactive and strategic Accounts Receivable (AR) management, ensuring that every claim is followed up on through claims submission until it’s paid, appealed, or properly resolved.

Our AR team diligently monitors outstanding balances, identifies delays or denials, and collaborates closely with payers to recover the revenue your practice has earned. Whether it’s insurance claims, patient balances, or complex cases like No-Fault and Workers’ Comp, we pursue every dollar with precision and persistence.

Our accounts receivable services include:

- Daily monitoring and aging analysis of unpaid claims

- Insurance follow-ups via phone, portals, and electronic communication

- Denial resolution and appeal submission

- Preparing all required documents for arbitration

- Arbitration/lien monitoring

- Secondary insurance billing and coordination of benefits

- Patient billing and support for balance collections

- Payment posting services and customized AR reports for full transparency

By combining industry expertise with consistent follow-up, we reduce aging AR and maximize collections—helping your practice stay financially strong and focused on patient care.

Accurate payment posting is vital to maintaining a clear and healthy revenue cycle. Our payment posting services, part of our comprehensive accounts receivable services, ensure that every payment—whether from insurance or patients—is recorded promptly and precisely, giving you full visibility into your financial performance.

We post payments from ERAs (Electronic Remittance Advices), EOBs (Explanation of Benefits), and patient payments with attention to detail, ensuring that each payment is applied to the correct account and service.

Our Payment Posting Services Include:

- Posting payments from insurance carriers and patients

- Applying adjustments, write-offs, and secondary balances

- Reconciling daily deposits with billing records

- Identifying and flagging underpayments or denials for follow-up

- Maintaining clean and accurate patient account balances

- Generating financial reports for full transparency

By ensuring your payments are posted accurately and in real time, we help prevent revenue leakage, support effective denial management, and keep your accounts up to date, allowing for efficient claims submission.

Accurate month-end reporting is essential for evaluating your practice’s financial performance and planning for future growth. At Medici Medical Consultants, our month-end management reports provide a comprehensive snapshot of your revenue cycle activity—giving you clear insights into collections, outstanding balances, and key financial metrics. Our accounts receivable services ensure that you have a thorough understanding of your financial standing. 

Our detailed reports help practice leaders make informed decisions, identify trends, and address issues promptly to keep your revenue cycle running smoothly. We also offer efficient claims submission and payment posting services to streamline your processes.

Our Month-End Management Reporting Services Include:

- Summaries of total charges, payments, adjustments, and write-offs

- Accounts receivable (AR) aging and collection performance analysis

- Denial and claim status overview

- Provider productivity and service volume metrics

- Customizable report formats tailored to your practice needs

- Financial trend analysis to support budgeting and forecasting

With our thorough month-end reports, you gain the transparency and data you need to optimize operations, enhance cash flow, and achieve your financial goals.