Before you provide care, it is essential to confirm patient eligibility for your services. Let us free your staff up from this time consuming task. PreferredMD will process your patients’ insurance benefits verification so you can focus on their care.  Our benefits verification system checks procedure-specific coverage and all out-of-pocket costs, freeing your office staff to provide better patient interactions.

Gone are the days when all Oxford plans typically paid the same.  Today’s insurance landscape has a multitude of different reimbursement models, such as usual and customary, reasonable and customary or a percentage of Medicare fee schedules. Variables like maximum out of pocket can dramatically change the actual payout of a claim.

PreferredMD’s online verification system will deliver a quick, clear and detailed benefits review for your patient’s procedure. This timely and detailed information improves collections and minimizes the adverse consequences that arise when financial responsibilities are not clear to all involved from the outset. Fast and precise benefits verification will have a positive impact on your collections and reduce the amount of billing that ages and that may ultimately become uncollectible.

PreferredMD Insurance Benefits Verification service is fully HIPPA compliant and secure.  Our online service was built on a blueprint designed for data security, practice convenience and improved patient experience.

PreferredMD will obtain all the required benefits information including:

  • Plan & coverage details
  • Medicare coverage
  • Payable benefits
  • Co-pays
  • Co-insurance
  • Deductibles
  • Patient policy status
  • Effective date
  • Plan exclusions
  • Health insurance caps
  • Out of network benefits
  • DME reimbursement

Let PreferredMD take on this time consuming and complex task. Our staff is highly credentialed and has vast experience in verifying coverage with major insurers such as Cigna, United Healthcare, AETNA, and Blue Cross Blue Shield.

We are specialists in Out of Network benefits and can even offer your patients guidance to help minimize their out of pocket costs and optimize reimbursement. We have the talent and ability to provide your practice and patients with superior convenience, and to protect your patients’ information while improving their overall experience in your office.