Why Should You Outsource Dental Insurance Eligibility Verification Process?

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Dental insurance eligibility verification is a very elaborate process and demands a lot of time. It starts with going through the details of every patient file to ensure the accuracy of all the details. It is then followed by contacting insurance agencies to verify their coverages. When a single employee assumes the responsibility of this task who does not have skills that are specific to this task, the entire process gets derailed. This is not a welcoming scenario for any dental clinics from the perspective of revenue generation and time. The quest for a streamlined and an effective dental insurance eligibility process has led to the outsourcing of this service to third-party vendors. Here’s a look at some of the critical factors that substantiate outsourcing the dental insurance eligibility verification process. Dental practitioners feel the responsibility of helping patients to use their insurance benefits freely without any anticipation of seeing dubious charges on their statements. However, if the practitioners are not well-versed with the complex regulatory frameworks and insurance details that are pertinent to dental practice, they make face significant challenges. These challenges range from reduced collection, low AR, dissatisfied patients, reimbursement challenges, among others. This makes dental insurance verification outsourcing imperative for practitioners as well as hospitals. Here’s a look at the key benefits derived by outsourcing this service:

Absolute adherence to regulatory guidelines – Dental insurance verification outsourcing will ensure delivering services that bear 100% compliance with the HIPAA regulations and the recommended guidelines as stated by the international organization for standardization. Leading vendors are known to possess the ISO 9001:2015 certification that bear testimony to their service quality. This provides a major boost to a dental practitioner’s performance. Leading outsourcing companies are known to have obtained the ISO 9001:2015 certification that is a proof of the supreme quality of their service. This is critical in driving efficiency in improving the overall process.

Outsourcing dental insurance verification process to experience vendors ensure 100% adherence to the HIPAA guidelines and other prevalent regulations as put forward by the international organization for standardization. Leading outsourcing companies are known to have obtained the ISO 9001:2015 certification that is a proof of the supreme quality of their service. This is critical in driving efficiency in improving the overall process.

Better assurance of quality Leading vendors house a team of highly skilled analysts who are tasked to assess the accuracy of the final output format obtained from medical data entry services. The experts ensure that the clients can utilize digital files in a proper way to expedite the process of offering dental care.

Single point of communication Vendors executing the dental insurance eligibility verification process delegate resources at various time zones. They maintain an active communication channel with the outsourced dental insurance verification professionals. They work as the sole point of contact and can be reached on a 24/7 basis to get updates on the progress of the verification process.

Opportunities to save costs – One of the critical benefits of outsourcing dental insurance eligibility verification process is that clients can pay flexibility as per service availed. Vendors provide flexibly priced service packages that can be chosen based on a client’s business requirements and budget. It is always a better option than to reply on ballpark quotations given by other vendors.

Scalable service Dental clinics can witness a sudden influx or a complete dry spell in terms of patient footfall. Vendors keep resources in their reserve who are enough to execute this process with acceleration when there are a large number of patients visiting a clinic. This effectively boosts the scope of revenue generation for clinics.

Better data securityLeading dental insurance eligibility verification companies maintain and apply robust data security policies that are aligned with the guidelines as stated by the information security management system. This earns them the ISO/IEC 27001:2013 certification which clients must verify as it is proof of their compliance as well as service quality. They use secure FTP and VPN while conveying sensitive clinical information and other project related files and documents to prevent them being exposed to unauthorized users.

Parting Note

Essentially outsourcing the dental insurance eligibility verification process helps staff at clinics to focus on medical care. This is accepted as a viable option than hiring an in-house dental insurance agent as it results in significant cost savings. However, while choosing vendors, clients must ensure that they have specific expertise in the dental care field, and they don’t treat it as their auxiliary services. 

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