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Insurance Authorizations and Client Benefit Verification

Behavioral Healthcare insurance verification and authorization are a critical component in accelerating the medical billing process. It involves validation of the patient’s insurance details and obtaining assurance by calling the insurance payer or through online verification. This process ensures verification of payable benefits, patient details, pre-authorization number, co-pays, co-insurance details, deductibles, patient policy status, effective date, type of plan and coverage details, plan exclusions, claims mailing address and more.

Many Behavioral Healthcare Providers don’t have the time to supervise the insurance verification process and their staff may not be skilled enough to carry out the eligibility verification process efficiently. Let’s be realistic, working directly with clients, supervising and managing staff doesn’t leave a lot of time for the administrative side of running your business. This can result in a situation where you don’t receive payment for services provided. It is imperative that all ABA providers understand the importance of insurance verification and authorization services.

Insurance Authorizations and Client Benefit Verification

Let our experienced team handle the insurance verification and authorization process for you so you can concentrate on the clinical side of your business.

What will Amvik Solutions verification and authorization team do for you?

  • Ensure benefits for all patients prior to submitting to the insurance company for approval
  • Verify patient information with the insurance carrier (verification of payable benefits, co-pays, co-insurances, deductibles, patient policy status, effective date, type of plan and coverage details, plan exclusions, claims mailing address and more)
  • Verify patients’ insurance coverage on all primary and secondary payers
  • Complete appropriate criteria sheets and authorization forms
  • Contact the insurance companies via phone, facsimile or online portal to obtain approval for your authorization request
  • Contact insurance agencies for appeals, missing information to ensure accurate billing