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DENTAL & MEDICAL BENEFITS VERIFICATION

GET EVERYTHING READY FOR NEXT 4 DAYS IN ADVANCE

BEFORE PATIENT IS IN OFFICE.

We are experts

At Health Plus Solution Community, we take care from appointment scheduling to payment collection, ensuring seamless financial workflows for medical, dental, vision and all practices.

01

Patient Registration

Collecting patient demographic and insurance information.
Ensuring accuracy and completeness of patient data.

02

Insurance Verification:

Importance of verifying patient insurance coverage.
Confirming eligibility, benefits, and coverage details.
Addressing discrepancies and resolving issues proactively.

03

Charge Capture:

Capturing all billable services provided to patients.
Ensuring accurate coding of procedures and services.
Utilizing technology for streamlined charge capture.

04

Claims Submission:

Generating and submitting claims to insurance companies.
Adhering to payer-specific guidelines and requirements.
Electronic versus paper claims submission.

05

Claims Processing:

Explanation of the insurance company's review process.
Determining claim acceptance, rejection, or denial.
Handling claim denials and appeals effectively.

07

Accounts Receivable Follow-Up:

Monitoring unpaid claims and outstanding balances.
Initiating follow-up actions for overdue payments.
Resolving billing-related inquiries and disputes.

09

Denial Management:

Analyzing claim denials and identifying root causes.
Implementing corrective actions to minimize denials.
Strategies for improving denial resolution rates.

06

Payment Posting:

Recording payments received from insurance companies and patients.
Applying payments to outstanding balances accurately.
Identifying and resolving posting discrepancies.

08

Patient Billing and Collections:

Sending statements to patients for their portion of the bill.
Explaining charges and payment options clearly.
Implementing strategies for timely collections.

10

Reporting and Analytics:

Utilizing reporting tools to track key performance indicators (KPIs).
Analyzing revenue cycle metrics for process improvement.
Making data-driven decisions to optimize financial performance.
Conclusion:

Statistic calculating

Ensuring HIPAA Compliance: Our Commitment to Protecting Patient Privacy

In the ever-evolving landscape of healthcare, patient privacy and data security are paramount concerns. At HEALTH PLUS SOLUTION, we understand the importance of safeguarding sensitive medical information and are dedicated to upholding the highest standards of HIPAA compliance.

Our HIPAA Compliance Pledge:


At HEALTHPLUS SOLUTION, HIPAA compliance is not just a box to check—it's a core value that guides everything we do. We recognize the trust that patients place in us to protect their sensitive health information, and we are committed to honoring that trust with the utmost diligence and integrity.

In conclusion, HIPAA compliance is not optional—it's essential. By adhering to HIPAA regulations and prioritizing patient privacy and security, we demonstrate our unwavering dedication to ethical healthcare practices and earn the trust and confidence of our clients and patients alike.

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WHAT DO WE VERIFY?

The effective date of Policy/group name and number, fee schedule, COB, correct member ID.

Breakdown

Have peace of mind knowing your answers are backed by 10 years of insurance experience.

DONT WASTE TIME

​sitting on hold to obtain faxbacks or verbally get benefits.

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Contact HealthPlus Solution today & Join our Community!
For any information you may reach us 24/7. We work Monday- Friday (8:00 AM EST - 4:00 PM EST)

F/73 Nandigram Soc, Makarpura GIDC, Vadodara 390010, India.

207 Park Lawn Rd Etobicoke, ON M8Y3J3 Canada. Service provided to all states of USA.

916-713-1348

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