Did you know?

The American Association of Health Plans, the Healthcare Financial Management Association and the Specialty Society Insurance Coalition recently determined that around twenty-five percent (25%) of the claims processed today are rejected by the payer, over fifty percent (50%) of those claims are rejected because a thorough eligibility verification was not made prior to time of service or billing. This in spite of that fact that most providers surveyed had some form of automated eligibility system in place.

Patient Access Management:

Few pieces of information are as important to maximizing both revenue and patient satisfaction as insurance eligibility data. Claims denied for eligibility reasons significantly increase the amount of follow-up energy and time to collect or end up as bad debt. Not to mention the impact these delays have on patient satisfaction.

RRS Insurance Eligibility Verification Services were designed to help customers enhance the accuracy of demographic and insurance data critical to the efficiency and effectiveness of the entire billing process. Our team is equipped with the knowledge, experience and technology to identify insurance coverage and patient demographic issues prior to time of service and billing. Correcting errors in the patient intake process prior to billing results in increased cash and improved AR days.

RRS recognizes that no automated eligibility solution is perfect and that human intervention is still required to ensure the accuracy of patient insurance and demographic data. We offer a scaleable solution that can work in conjunction with or as a replacement to your current eligibility verification process. RRS combines technology with seasoned verification and patient intake professionals to provide a full service one stop source for eligibility and pre-visit processing.