There is a need to bill the insurance provider for patients for any health care or behavioral health care company. This process allows the insurance company, in a simplistic form, to provide payment to the provider for the care a patient receives. Before that can happen, a verification of benefits (VOB) process must be completed. This process allows for providers to ensure the insurance company will pay even before the care is provided. At RevWerx, we work with our clients to minimize the complications that often come with the verification of benefits process.
How Does Verification of Benefits Happen?
VOB is a way to ensure the services that a provider offers to the patient will lead to payment from the insurance company. It can help estimate what the patient owes over and above what the insurance company provides. Without this type of verification, it is nearly certain that the provider will not receive payment for the service.
How does this process work? The following should be expected:
- Information is obtained from the patient about their coverage.
- Both in-network and out-of-network coverage are verified. That includes any plan they have, including Medicare, Medicaid, or other insurance.
- A copy of the front and back of the patient’s insurance identification care is obtained.
- Personal information, such as the patient’s first and last name and date of birth, is necessary.
- Then, the provider must call the phone number on the insurance ID card to learn about the current benefit.
This process seems simple enough, but it rarely works that easily without a plan to facilitate the process. Numerous communication problems, a lack of access to information, or patient misunderstandings of their coverage can often lead to complications and a slowdown of this process. This can limit the overall success a provider has in quickly getting the information they need to know if they can proceed with care.
Why Obtain VOB Services?
One of the best ways to minimize the communication problems and lack of continuity in the process is to use VOB services. In short, a company can provide these services for your organization. They gather the information from the patient. They contact the insurance provider. They then work closely to determine what preliminary benefits are available.
In addition to this, the VOB service can also work with the patient to ensure they know what their insurance coverage is. That becomes important when a patient may not have coverage or may have limited coverage for the services they need. By utilizing this process, your team in your office does not have to be slowed down or struggling with the complexities of insurance.
How RevWerx Improves Insight into Preliminary Benefits and More
When you allow RevWerx to handle the process of verification of benefits for you, you minimize the risk of nonpayment. At the same time, you do not have to have a full, in-house team to manage this process or have your office staff on the phone for long periods of time trying to navigate the process.
Instead, allow our team to handle the process for you. This can help to minimize costs in your office and ensures accuracy throughout the process. Check out all of our services, including:
- Billing audits and reporting
- Claims management services
- Utilization review service
- Verification of benefits and pre-authorization
- In-house billing implementation
- Aging collections management
Improve Outcomes by Partnering with RevWerx
With a dedicated team of professionals working with you, you can count on the verification of benefits process to go as smoothly as possible. Take a moment to consider what needs to change for your organization. Then, work with RevWerx to learn more about the opportunities we offer. Learn how we support our clients every step of the way through the process. Call 833.309.0138 or connect with us online.