Patient Insurance Eligibility and Benefits (E&B) verification

Transform Your Intake Process with Real-Time Insurance Verification.

Yosi’s Insurance Eligibility solution significantly reduces denied medical claims by verifying patient coverage in real time during the intake process. This integration ensures accurate eligibility checks and co-pay determinations, minimizing claim rejections related to patient eligibility issues and optimizing your revenue cycle. Yosi enhances operational efficiency, improves your bottom line, and enhances patient satisfaction, empowering your staff to spend less time on administrative tasks and more time on what matters – patient care.

Insurance Verification

Ensure real-time verification of Eligibility and Benefits (E&B) to maximize efficiency and optimize payment processing during scheduling, intake, or through batch verification in the background.

Cut Down Your Denied Medical Claims

Reduce frustrating claim rejections with Yosi’s Insurance Eligibility solution, seamlessly integrated into your intake process. Our solution verifies patient coverage on the day of their appointment, providing accurate eligibility checks and instant co-pay determinations, which significantly decreases the chances of denied medical claims. With nearly 30% of all claim denials related to patient eligibility issues—such as lack of coverage or inability to meet specific plan criteria—Yosi minimizes the chances of insurance claim rejections due to eligibility.

Reducing Costs and Elevate Patient Care

Accurate eligibility and co-pay information are vital for your practice’s financial success and patient satisfaction. On average, providers incur a cost of $25 for each revised medical insurance claim due to incorrect insurance information, plus an extra 1-10% of net charges when claims are redirected. This not only impacts your operational efficiency, but also directly affects your bottom line. These added costs from reworking claims can significantly reduce profit margins over time.

With Yosi, you reduce costs while saving your staff time, enabling them to focus on what matters most: delivering exceptional patient care. Experience a significant reduction in insurance claim rejections and boost your bottom line, leading to improved operational efficiency and enhanced patient satisfaction.

When you integrate Yosi’s pre-arrival and contactless intake solution with your EMR system, patients can complete their intake, including insurance verification, before their visit. Patients can easily update their insurance and identification information with the snap of a photo, and their details—such as insurance type, payer name, plan type, group number, claims payer ID, network, and subscriber ID—will be automatically extracted. This allows patients to fill out all necessary documentation ahead of time, helping to reduce denied claims by addressing any potential insurance issues.

Optimized Insurance Verification and Eligibility During Intake

Simplified Payment Processing

Verifying insurance eligibility and benefits at the time of service reduces claim errors and eliminates delays, accelerating your payment processing. By optimizing these steps in your payment workflow—checking insurance coverage, determining co-pays, and managing outstanding balances—you save time for both staff and patients.

No More Insurance Eligibility Delays

It can take practices up to 10 – 20 minutes to complete insurance eligibility checks when using conventional electronic eligibility software, especially when handling insurance eligibility checks for specialties. Don’t let these checks slow you down. With Yosi, patient insurance eligibility and benefits are verified in real time, freeing your staff to focus on other critical tasks, such as enhancing patient care and streamlining operations. Our solution reduces the time spent on eligibility verification and minimizes errors by ensuring greater data accuracy, allowing for faster determination of patient benefits.

How Does It Work?

Capture Insurance Information: During intake, patients can easily upload images of their insurance card, allowing information such as the insurance type, payer name, plan type, group number, claims payer ID, network, and subscriber ID to be extracted.
Instant Verification: Within seconds, a patient’s benefits are checked, confirming coverage details, including payer and plan identification, coverage verification, co-payments, and deductibles.
User-Friendly Dashboard: All patient’s plan benefits and real-time price estimates, such as copays, are displayed on Yosi’s intuitive dashboard. With all patient information in one dashboard, staff do not need to toggle between payer portals and EMRs.
Collect Copays During Intake: Based on the patient’s verified insurance during intake, practices can collect copays and outstanding balances on the spot, including office visit and specialty.

Additional Benefits:

Eligibility Verification: Enhanced with OCR technology to capture accurate insurance information when the patient scans their insurance card.
Auto-Populated Information: Insurance details are prefilled at the plan level.
Copays and Outstanding Balances: Displayed in the E&B report are details of the amounts due from patients for copays, office visits, or specialty visits.
Real-Time Eligibility Check: E&B verifications are conducted in real-time when patients scan their insurance card.
Ineligibility Notification: If a patient’s insurance is inactive or if the patient’s insurance is invalid, the patient’s eligibility status will be displayed.
Batch Insurance Checks: Scheduled runs of batch insurance checks. (available November)

Yosi’s Insurance Eligibility solution offers a powerful solution to eliminate denied medical claims through real time by patient coverage. By integrating this solution into your intake process, you reduce denied claims, enhance operational efficiency, improve patient satisfaction, and boost your bottom line- all while allowing your staff to focus on delivering exceptional patient care.

Say goodbye to lengthy eligibility checks and adopt an optimized workflow that prioritizes accuracy and efficiency.

How is E&B Verification powered by AI?

AI-Powered Insurance Card Reader

Our AI-powered solution significantly reduces the chances of errors by automating the insurance data capture and verification process.

Benefits:

Faster and more accurate insurance processing.
Reduced reliance on manual entry, lowering administrative costs.
Improved patient experience with seamless intake.

The Challenge of Traditional Insurance Processing
Traditional insurance processing is time-consuming and prone to errors, due to:

Lack of Expertise: Many providers need specialists to identify insurance payers and payer IDs, which can be costly.
Submission Complexities: Different insurance companies have varying claim processes based on location, making accurate submissions tricky.
High Error Rates: The average error rate in health insurance information is around 3%, leading to costly denied claims.
The Smart Way to Capture, Verify, and Process Insurance
Streamline your insurance processing, reduce errors, and save time and money. Experience a new era of efficiency in patient intake!