Verifying a patient’s insurance coverage can be complicated and often leads to staffing challenges and errors. Ensuring accurate verification is essential for managing receivables and avoiding payment delays.
Achieve up to a 50% reduction in claim denials and see approval rates improve by 25% with our verification and authorization service.
Zystamatic streamlines insurance verification, allowing your team to focus on patient care. We manage pre-appointment validation, in-network benefit assessments, and provide support for No Surprises Act billing.
At Zystamatic, we understand that accurate and timely patient eligibility and benefits verification is crucial for a smooth revenue cycle management process. Our dedicated team ensures that your patients’ insurance coverage is verified and their benefits are accurately assessed, helping you reduce claim denials and improve your practice’s financial performance.
Our comprehensive authorization management ensures timely approvals, reduces administrative burdens, and provides detailed reporting to enhance the efficiency and financial performance of your practice. With our proactive approach, you can focus on patient care while we handle the complexities of the authorization process.
We handle the authorization process efficiently, ensuring that all required approvals are obtained before services are rendered. This helps in preventing delays and denials related to unauthorized services.
Our team ensures a seamless authorization process by coordinating with insurance providers and managing documentation, reducing the time and effort required from your staff.
Our analytics team offer detailed reports on authorization outcomes, helping you to monitor trends, identify issues, and make informed decisions about your billing processes.
Our streamlined process for eligibility and insurance verification includes patient information collection, insurance and benefits verification, and timely authorization submission and follow-up. We also handle approvals, manage appeals if necessary, and continuously monitor to ensure ongoing coverage.
Authorization Request
Prepare necessary documentation and submit the authorization request to the insurance provider.
Authorization Review And Follow-Up
Coordinate with the insurer, provide additional information, and ensure timely processing.
Insurance And Benefits Verification
Confirm insurance coverage, verify benefits, co-pays, deductibles, and patient responsibilities.
Decision & Notification
Receive and document the authorization decision, then notify the healthcare provider and patient.
Patient Information Collection
Gather and input essential patient details like name, DOB, insurance ID, and contact info.
Appeals And Ongoing Monitoring
Handle denials, resubmit if necessary, and monitor authorization expirations for continued coverage.
By partnering with Zystamatic for verification & authorization , healthcare providers can experience benefits, including:
Zystamatic provides integrated solutions for patient eligibility verification and authorization management, ensuring your practice operates at peak efficiency. Our services minimize claim denials, streamline billing processes, and improve overall financial performance, allowing your team to focus more on patient care and less on administrative hurdles.
Streamlined Authorization Management
Integrated Eligibility Verification
Efficient Pre-Authorization Processes
At Zystamatic, we are dedicated to improving your practice’s efficiency and financial performance through our exceptional patient eligibility and benefits verification services. Reach out today to discover how our solutions can support and enhance your revenue cycle management.
Our services include verifying patient insurance coverage, assessing benefits, and confirming eligibility for specific treatments or services. This ensures that your practice has accurate information before proceeding with patient care.
We manage the entire authorization process, including obtaining approvals from insurance providers, coordinating with payers, and handling all required documentation to ensure that your services are covered and claims are processed smoothly.
Yes, we prioritize urgent requests and work swiftly to obtain necessary authorizations, ensuring that your practice can proceed with patient care without delays.
We utilize advanced tools and technologies, combined with experienced staff, to cross-check and validate all information. Regular audits and quality assurance processes further ensure accuracy and compliance.
If a claim is denied, we will work with you to review the case, identify the issue, and assist with appeals or resubmissions to resolve any discrepancies and secure payment.
We continuously monitor and update patient insurance information to reflect any changes in coverage, ensuring that all eligibility and authorization details are current and accurate.
We offer real-time tracking and status updates for all authorization requests, providing you with visibility and ensuring that you are informed throughout the process.
