In the absence of proper eligibility and benefit verification countless downstream problems are created; delayed payments, rework, decreased patient satisfaction, increased errors, and nonpayment. To avoid these problems, GeBBS provides a remotely hosted Centralized Eligibility Unit for Hospitals and Faculty Practice Plans. The solution consists of GeBBS deploying staff, technology, management and expertise with the objective of delivering high quality cost effective patient insurance eligibility and related services.
GeBBS’ Eligibility Verification Services has the potential to:
Improve A/R cycles (reduce A/R days)
Increase cash collections by reducing write-offs and denials
Eligibility and Benefits Verification
Receive Schedules from the Hospital via EDI, email or fax
Verify coverage on all Primary and Secondary (if applicable) Payers by utilizing sites like WebMD, Payer Web Sites, Automated Voice Responses and phone calls to Payers
Contact patient for information if necessary
Provide the client with the results which include eligibility and benefits information such as member ID, group ID, coverage end and start dates, co-pay information and much more
Related Services (Optional)
Obtain Pre- Authorization Number
Obtain referral from PCP
Enter/update Patient demographics
Remind patient of POS collection requirements
Inform client if there is an issue with coverage or Authorization
Revenue Cycle Management
