complete benefit verification for a patient what is covered and what is non covered, who is pcp, what is copay, insurance active or not, if insurance is active then clinic's participating status, calendar year individual and family deductible, par and non par benefit covered procedures, annual well checup coverage and referral and prior authorization requirement for certain test and procedures. in addition to these traditional verification we go one step beyond, we identify list of patient that are due for followup based on icd or cpt based recalls. for e.g. patients that are due for well checkup and colonoscopy, endoscopy, ecocardiogram, wellvisits, nuclear stress test. In many such circumstances, they are due for a viist in your office and schedule them in your system or provide a list to your practice.
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