One of the most difficult and time-consuming tasks confronting medical professionals, and patient’s, is  insurance eligibility and benefits verification. Additionally, the prior authorization – pre certification processes can be difficult for many.

The PreferredMD team of pre authorization/pre certification specialists will expertly handle the entire insurance benefits verification, pre-certification or pre-authorization process for you. Outsourcing these time consuming and arduous processes to our highly trained and experienced team allows you to focus on what really matters to your practice, delivering an outstanding patient experience.

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.  

Keeping up with the changes in third party payers can cause an unnecessary strain on your staff. How often does your office staff have to stop important work supervising your practice or providing care, to go through  training to learn a new process in order for your practice and processes to remain compliant?

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 HIPAA 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.